IndividualActive
Denmark Mugutso, MS. CNIM
NPI 1366723926 · Electroneurodiagnostic Specialist/Technologist · New Hyde Park, NY
Provider details
- NPI number
- 1366723926
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- MS. CNIM
- Sex
- Male
- Sole proprietor
- No
- License
- 916 (GA)
Practice location
1991 Marcus Ave
Suite 108 / Neurophysiology
New Hyde Park, NY 11042-2057
Phone: (804) 868-8011
Fax: (516) 442-1897
Mailing address
1991 Marcus Ave
New Hyde Park, NY 11042-2057
Registry dates
- Enumerated
- 2011-09-08
- Last updated
- 2011-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.