East Greenbush Neurology Office, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

214014 Issued in NY

Legal business name

EAST GREENBUSH NEUROLOGY OFFICE, PLLC

Practice address

1528 Columbia Tpke
Castleton, NY 12033-9584

Phone

(518) 694-3053

Fax

(518) 694-3056

NPI assigned

Jun 18, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hani Midani, MD

Title

Sole Propietor

Phone

(518) 694-3053

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1013144823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 COLUMBIA TPKE",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120339584",
            "telephone_number": "518-694-3053",
            "fax_number": "518-694-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 COLUMBIA TPKE",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120339584",
            "telephone_number": "518-694-3053",
            "fax_number": "518-694-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST GREENBUSH NEUROLOGY OFFICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "MIDANI",
        "authorized_official_first_name": "HANI",
        "authorized_official_title_or_position": "SOLE PROPIETOR",
        "authorized_official_telephone_number": "518-694-3053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "214014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "BB5753",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01954374",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Duda, FNP
• Michael R Dulay, MS, FNP-C
• Elizabeth Margaret Durocher, CCC,SLP
• Jaclyn Cara Dusenbery, OTR/L
• Anthony Dushane, PA-C
• Edward P. Foley DO P.C.
• Beth Evans, PHARMD
• Michael Evans, RPX
• Paige Autumn Evans, PA-C
• Shelly Lynn Ferron, LPN

• Neurology Physician in Castleton, NY
• Providers in Castleton, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.