Healthcare Provider Details

I. General information

NPI: 1790962967
Provider Name (Legal Business Name): NEIL E. ADLER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2008
Last Update Date: 01/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 LINWOOD AVE
CEDARHURST NY
11516-1720
US

IV. Provider business mailing address

218 LINWOOD AVE
CEDARHURST NY
11516-1720
US

V. Phone/Fax

Practice location:
  • Phone: 516-295-0645
  • Fax:
Mailing address:
  • Phone: 516-295-0645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number183395-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number183395-1
License Number StateNY

VIII. Authorized Official

Name: DR. NEIL E. ADLER
Title or Position: DIRECTOR
Credential: MD
Phone: 516-508-6440