Medical Serrvices of Lynbrook PC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

MEDICAL SERRVICES OF LYNBROOK PC

Doing business as

Medical Services of Lynbrook

Practice address

1101 Stewart Ave Ste 100
Garden City, NY 11530-4833

Phone

(516) 503-0646

Fax

(888) 289-5601

NPI assigned

Feb 14, 2020

Last updated

Feb 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig Tkacsik

Title

VP

Phone

(516) 503-0646

Specialties & licenses 1

Addresses

Other names 1

• Medical Services of Lynbrook Doing business as

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1437782778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 STEWART AVE STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304833",
            "telephone_number": "516-503-0646",
            "fax_number": "888-289-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 STEWART AVE STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304833",
            "telephone_number": "516-503-0646",
            "fax_number": "888-289-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERRVICES OF LYNBROOK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "TKACSIK",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "516-503-0646"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Services of Lynbrook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Electroneurodiagnostic Specialist/Technologist in Garden City, NY
• Providers in Garden City, NY by specialty
• Electroneurodiagnostic Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.