Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Modern Neurology, PC

Organization Specialist · NPI 1720200322

Modern Neurology, PC is a Specialist in Great Neck, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1010 Northern Blvd Ste 208
Great Neck, NY 11021
Phone: (516) 365-7104
Fax: (718) 366-0011
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 220993-1 (NY)

Record details

NPI number1720200322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samir Haddad — Principal · (516) 365-7104
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1010 Northern Boulevard, Suite 208, Great Neck, NY 11021

Other providers in Great Neck