Provider Demographics
NPI:1194892844
Name:ROCKLAND NEUROLOGICAL ASSOCIATES PC
Entity type:Organization
Organization Name:ROCKLAND NEUROLOGICAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLANN
Authorized Official - Middle Name:G
Authorized Official - Last Name:CASCIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-353-4344
Mailing Address - Street 1:2 CROSFIELD AVE
Mailing Address - Street 2:202
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2226
Mailing Address - Country:US
Mailing Address - Phone:845-353-4344
Mailing Address - Fax:845-348-1873
Practice Address - Street 1:2 CROSFIELD AVE
Practice Address - Street 2:202
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2226
Practice Address - Country:US
Practice Address - Phone:845-353-4344
Practice Address - Fax:845-348-1873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWBW241Medicare ID - Type Unspecified