ADULT AND CHILD NEUROLOGY PC
NPI 1982261194
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Astoria, NY

Active since May 22, 2019
3613 30TH AVE, ASTORIA, NY 11103(800) 200-8196(914) 368-8343 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 1, 2023, May 22, 2019 (2 updates tracked since 2019).

About Adult And Child Neurology Pc NPPES

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

ADULT AND CHILD NEUROLOGY PC (NPI 1982261194) is a healthcare organization registered as a neurology with special qualifications in child neurology in Astoria, New York and active in the NPI registry since May 2019. The organization maintains a secondary practice location in New York and lists Maja Ilic, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1982261194
Entity TypeOrganization
Primary Taxonomy2084N0402X
Legal Business NameADULT AND CHILD NEUROLOGY PC
Location Address3613 30TH AVEAstoria, NY 11103-4329
Mailing Address21 Kingston RdScarsdale, NY 10583-1147 · (914) 358-1162 · Fax (914) 368-8343
Fax(914) 368-8343
Organization SubpartNo
Authorized OfficialMaja IlicMedical Director · (914) 358-1162
Enumeration DateMay 22, 2019
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
NPI 1982261194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

3613 30TH AVE, Astoria, NY 11103

Secondary Practice Location 1

Location 1385 Fort Washington AveNew York, NY 10033-6740 · Phone (800) 200-8196 · Fax (914) 368-8343

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Orthopaedic Surgery
3613 30TH AVE
ASTORIA, NY 11103
Physician Assistant
3613 30TH AVE
ASTORIA, NY 11103
Physician Assistant
3613 30TH AVE
ASTORIA, NY 11103
Nurse Practitioner (Family)
3613 30TH AVE
ASTORIA, NY 11103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982261194, enumerated as an "organization" on May 22, 2019.

The provider is located at 3613 30TH AVE ASTORIA, NY 11103 and the phone number is (800) 200-8196.

Psychiatry & Neurology with taxonomy code 2084N0402X and a focus in Neurology with Special Qualifications in Child Neurology.