NEUROLOGICAL CLINICAL ASSOCIATE PC
NPI 1144267956
Psychiatry & Neurology - Neurology in Albany, NY
- Organization
- Psychiatry & Neurology
- Neurology
- CLIA Number: 33D1090280
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-06-2026
About NEUROLOGICAL CLINICAL ASSOCIATE PC
This page provides the complete NPI Profile along with additional information for Neurological Clinical Associate Pc, a provider established in Albany, New York operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1144267956 assigned on June 2006. The practitioner's primary taxonomy code is 2084N0400X with license number 120621-1 (NY). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Richard F Holub M.d. (President)
- NPI
- 1144267956 Verify this NPI
- Provider Name
- NEUROLOGICAL CLINICAL ASSOCIATE PC
- Entity Type
- Organization
- Location Address
- 760 MADISON AVE ALBANY, NY 12208
- Location Phone
- (518) 449-2662
- Location Fax
- (518) 449-1342
- Mailing Address
- 760 MADISON AVE ALBANY, NY 12208
- Mailing Phone
- (518) 449-2662
- Mailing Fax
- (518) 449-1342
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-01-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 120621-1
- License State
- NY
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D1090280
- Facility Type
- Physician Office
- Certificate Effective Date
- October 07, 2024
- Certificate Expiration Date
- October 06, 2026
- Laboratory Director
- RICHARD HOLUB, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Neurological Clinical Associate Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
ALBANY, NY 12208
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144267956, enumerated as an "organization" on June 01, 2006.
The provider is located at 760 MADISON AVE ALBANY, NY 12208 and the phone number is (518) 449-2662.
Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.
