Healthcare Provider Details

I. General information

NPI: 1003886482
Provider Name (Legal Business Name): YORK NEUROSURGICAL ASSOCIATES,P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2319 S GEORGE ST
YORK PA
17403-5009
US

IV. Provider business mailing address

2319 S GEORGE ST
YORK PA
17403-5009
US

V. Phone/Fax

Practice location:
  • Phone: 717-718-9710
  • Fax:
Mailing address:
  • Phone: 717-718-9710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: CANDICE WILLIS
Title or Position: BILLING MANAGER
Credential:
Phone: 717-718-9710