Progressive Neurosurgery, Pc

LBN: Progressive Neurosurgery, Pc
Progressive Neurosurgery, Pc is an health care organization with primary practice located at 201 Dates Drive Suite 101, Ithaca NY 14850. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Progressive Neurosurgery, Pc can be contacted via phone (607) 269-0033, or through Zupruk, Gerald via phone (607) 269-0033.

Contact Information

Primary practice address
201 Dates Drive Suite 101 Ithaca NY 14850
Phone: (607) 269-0033
Fax: (607) 269-0037
Website:
Map and Directions
Authorized official contact:
Name: Zupruk, Gerald Doctor of Medicine (MD)
Phone: (607) 269-0033

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X

Profile Details

NPI number 1558313122
LBN Legal business name Progressive Neurosurgery, Pc
DBA Doing business as
Authorized official Zupruk, Gerald Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558313122 NPPES
New York MEDICAID 02289774

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