Healthcare Provider Details

I. General information

NPI: 1184675720
Provider Name (Legal Business Name): NEUROLOGY AND NEUROSCIENCE ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 09/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 WHITE POND DR SUITE 300
AKRON OH
44320-1127
US

IV. Provider business mailing address

701 WHITE POND DR SUITE 300
AKRON OH
44320-1127
US

V. Phone/Fax

Practice location:
  • Phone: 330-572-1011
  • Fax: 330-572-1018
Mailing address:
  • Phone: 330-572-1011
  • Fax: 330-572-1018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: LAWRENCE M. SALTIS
Title or Position: PRESIDENT
Credential: MD
Phone: 330-572-1011