Neuro Medical Care Associates PLLC

Organization Active NPI Neurology Physician · Vestal, NY

NPI 1447335757 · NPPES record last updated Mar 28, 2017

Key facts

NPI
1447335757
Entity type
Organization (NPI type 2)
Primary specialty
Neurology Physician 2084N0400X
Legal business name
NEURO MEDICAL CARE ASSOCIATES PLLC
Practice address
200 Front Street
Suite C
Vestal, NY 13850-1559
Phone
(607) 239-5694
Fax
(607) 239-5720
NPI assigned
Oct 26, 2006
Organization subpart
No

Authorized official

Name
Dharmesh R Patel, MD
Title
Physician, Owner
Phone
(607) 239-5694

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20051214000303 NY Part B Supplier - Clinic/Group Practice 8729009071 Receives reassigned benefits from 8 practitioners
Practice locations: Vestal, NY

National Provider Directory

Locations

161 Riverside Dr
Ste 305
Binghamton, NY 13905
Phone (607) 729-1521

52 Harrison St
#2
Johnson City, NY 13790
Phone (607) 729-1521

503 Plaza Dr
Vestal, NY 13850
Phone (607) 669-4772

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2084N0400X Yes

Addresses

Primary practice location

200 Front Street
Suite C
Vestal, NY 13850-1559

Mailing address

200 Front Street
Suite C
Vestal, NY 13850-1559
Phone (607) 239-5694

Other identifiers

IdentifierTypeStateIssuer
02209305MedicaidNY

Other providers in Vestal, NY

All providers in Vestal, NY · Neurology Physician in New York

Sources for this page

Verify at the official NPI Registry.