DR. SIMONA VASILICA PROTEASA


Address: 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207
Phone: 5163257000

DR. SIMONA VASILICA PROTEASA (NPI# 1831484740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831484740
Entity Type Individual
Full Name DR. SIMONA VASILICA PROTEASA
Other Name MS. SIMONA VASILICA HERES
Credential MD
Practice Address 611 Northern Blvd Ste 150
Great Neck
NY 11021-5207
Practice Telephone 5163257000
Practice Fax Number 5163257001
Mailing Telephone 5163257000
Mailing Fax Number 5163257001
Enumeration Date 2011-06-20
Last Update Date 2020-06-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
270252 NY Allopathic & Osteopathic Physicians
N 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
12347 NY Allopathic & Osteopathic Physicians
Y 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
1063 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 611 NORTHERN BLVD STE 150
City GREAT NECK
State NY
Zip Code 11021-5207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871511238 Anthony Paul Geraci Psychiatry & Neurology 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207 2006-07-17
1134618085 Alicia Dee Nurse Practitioner 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207 2018-05-07
1023493020 Amanda Persaud Psychiatry & Neurology 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207 2015-07-21
1194160457 Neeraj Singh Psychiatry & Neurology 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207 2013-04-30
1881969905 Stephan Bickel Psychiatry & Neurology 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207 2012-03-22
1417191750 David Weintraub Neurological Surgery 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207 2009-04-30
1326202722 Chetan Malpe Psychiatry & Neurology 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207 2008-07-15
1578723854 Mariel Deutsch Psychiatry & Neurology 611 Northern Blvd Ste 150, Great Neck, NY 11021 2008-06-11
1346325644 Fred A Lado Psychiatry & Neurology 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207 2006-10-26

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Taxonomy Information

Taxonomy Code 2084N0600X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Clinical Neurophysiology

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629075767 Itzhak C Haimovic Psychiatry & Neurology 170 Great Neck Road, Great Neck, NY 11021 2005-07-05
1306803036 Robert Anthony Dimino Psychiatry & Neurology 175 Community Dr, Great Neck, NY 11021-5502 2006-04-27

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1952601668 Ideal Idtf Services of New York, Inc. Psychiatry & Neurology 4394 Broadway, New York, NY 10040-4002 2010-10-27
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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
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Competitor

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City GREAT NECK
Zip Code 11021

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Dataset Information

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.

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