Healthcare Provider Details

I. General information

NPI: 1316245384
Provider Name (Legal Business Name): THE NEUROLOGY GROUP LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2011
Last Update Date: 01/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PATROON CREEK BLVD SUITE 210
ALBANY NY
12206-5013
US

IV. Provider business mailing address

400 PATROON CREEK BLVD SUITE 210
ALBANY NY
12206-5013
US

V. Phone/Fax

Practice location:
  • Phone: 518-459-8106
  • Fax: 518-489-6441
Mailing address:
  • Phone: 518-459-8106
  • Fax: 518-489-6441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES R STOREY
Title or Position: PARTNER
Credential: MD
Phone: 518-459-8106