Basic Information
| Provider Information | |||||||||
| NPI: | 1710120134 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEUROLOGY AND NEUROSCIENCE ASSOCIATES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 701 WHITE POND DR | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443201127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3305721011 | ||||||||
| FaxNumber: | 3305721018 | ||||||||
| Practice Location | |||||||||
| Address1: | 701 WHITE POND DR | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443201127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3305721011 | ||||||||
| FaxNumber: | 3305721018 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/15/2009 | ||||||||
| LastUpdateDate: | 09/22/2010 | ||||||||
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| AuthorizedOfficialLastName: | SALTIS | ||||||||
| AuthorizedOfficialFirstName: | LAWRENCE | ||||||||
| AuthorizedOfficialMiddleName: | M. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3305721011 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.