INTRAOPERATIVE NEUROLOGY SERVICES PC (NPI# 1548739006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548739006 |
| Entity Type | Organization |
| Organization Name | INTRAOPERATIVE NEUROLOGY SERVICES PC |
| Practice Address |
4 Legends Cir Melville NY 11747-5302 |
| Practice Telephone | 6466731660 |
| Mailing Telephone | 6466731660 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |
| Authorized Official Name | MICHAEL RILEY (ADMINISTRATOR) |
| Authorized Official Telephone | 5187272238 |
| Authorized Official Credential | MS, CNIM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Street Address |
4 LEGENDS CIR |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154977320 | Tenn Professional Reading PC | Psychiatry & Neurology | 4 Legends Cir, Melville, NY 11747-5302 | 2019-08-14 |
| 1871057208 | Sme Medical Delaware Pa | General Practice | 4 Legends Cir, Melville, NY 11747-5302 | 2019-01-30 |
| 1093279721 | Sme New Jersey P.C. | General Practice | 4 Legends Cir, Melville, NY 11747-5302 | 2019-01-28 |
| 1235693052 | Sme Grinman Arkansas P.a. | General Practice | 4 Legends Cir, Melville, NY 11747-5302 | 2019-01-25 |
| 1144784950 | Sme Arizona P.C. | General Practice | 4 Legends Cir, Melville, NY 11747-5302 | 2019-01-25 |
| 1154885390 | Sme Tennessee PC | General Practice | 4 Legends Cir, Melville, NY 11747-5302 | 2019-01-22 |
| 1548734288 | Sme Connecticut PC | General Practice | 4 Legends Cir, Melville, NY 11747-5302 | 2019-01-16 |
| 1861966517 | Sme Grinman Nevada PC | General Practice | 4 Legends Cir, Melville, NY 11747-5302 | 2019-01-16 |
| 1093289753 | Sme Texas Pa | General Practice | 4 Legends Cir, Melville, NY 11747-5302 | 2019-01-16 |
| 1316410533 | Sme Colorado PC | General Practice | 4 Legends Cir, Melville, NY 11747-5302 | 2019-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154977320 | Tenn Professional Reading PC | Psychiatry & Neurology | 4 Legends Cir, Melville, NY 11747-5302 | 2019-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457760977 | Luis Grodnitzky | Psychiatry & Neurology | 300 E 54th St Apt 4j, New York, NY 10022-5019 | 2014-08-08 |
| 1346661808 | Comprehensive Diagnostics and Imaging PC | Psychiatry & Neurology | 200 East 36 Street, 11c, New York, NY 10016 | 2013-12-30 |
| 1952601668 | Ideal Idtf Services of New York, Inc. | Psychiatry & Neurology | 4394 Broadway, New York, NY 10040-4002 | 2010-10-27 |
| 1922261486 | Amit Khaneja | Psychiatry & Neurology | 1155 Warburton Ave Apt 1u, Yonkers, NY 10701-1075 | 2008-07-05 |
| 1538331749 | Autonomic Neurology, Pllc | Psychiatry & Neurology | 2 Charlton St, 15b, New York, NY 10014-4909 | 2008-03-27 |
| 1215967633 | Robert Alan Gold | Psychiatry & Neurology | Pilgrim Psychiatric Center, 998 Crooked Hill Road, West Brentwood, NY 11717 | 2006-07-03 |
| 1831151281 | Alcibiades J. Rodriguez | Psychiatry & Neurology | 724 2nd Ave, New York, NY 10016-2710 | 2006-04-03 |
| 1992703391 | Andrei Carasca | Psychiatry & Neurology | 875 5th Ave, New York, NY 10065-4952 | 2005-07-08 |
| 1629075767 | Itzhak C Haimovic | Psychiatry & Neurology | 170 Great Neck Road, Great Neck, NY 11021 | 2005-07-05 |
| 1457706731 | St. Peter's Health Partners Medical Associates, PC | Psychiatry & Neurology | 63 Shaker Road, Suite G01, Albany, NY 12204-1030 | 2016-04-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.