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MODERN NEUROLOGY, P.C.
NPI 1720200322
Specialist in Great Neck, NY

Active since May 03, 2007
1010 NORTHERN BOULEVARD, SUITE 208, GREAT NECK, NY 11021(516) 365-7104(718) 366-0011 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Modern Neurology, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN NEUROLOGY, P.C. (NPI 1720200322) is a healthcare organization registered as a specialist in Great Neck, New York and active in the NPI registry since May 2007. The organization lists Samir Haddad, Principal, as its authorized official.

NPPES Registry Identity

NPI1720200322
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMODERN NEUROLOGY, P.C.
Location Address1010 NORTHERN BOULEVARD, SUITE 208Great Neck, NY 11021
Mailing Address1010 Northern Boulevard, Suite 208Great Neck, NY 11021 · (516) 365-7104 · Fax (718) 366-0011
Phone(516) 365-7104
Fax(718) 366-0011
Organization SubpartNo
Authorized OfficialSamir HaddadPrincipal · (516) 365-7104
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720200322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 220993-1
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1010 NORTHERN BOULEVARD, Great Neck, NY 11021
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

APEX THERAPEUTIC SERVICES, LLC
Supports Brokerage
1010 NORTHERN BOULEVARD, SUITE 208
GREAT NECK, NY 11021
Nassau County (516) 336-2554
NORTH SHORE CARDIOLOGY & INTERNAL MEDICINE ASSOCIATES PC
Internal Medicine (Cardiovascular Disease)
1010 NORTHERN BOULEVARD
GREAT NECK, NY 11021
Nassau County (516) 390-2400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Neurology, P.C.'s NPI number?

The NPI number for Modern Neurology, P.C. is 1720200322. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Modern Neurology, P.C. located?

Modern Neurology, P.C. is located at 1010 Northern Boulevard Suite 208, Great Neck, NY 11021. The listed phone number is (516) 365-7104.

What is Modern Neurology, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Modern Neurology, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.