IndividualActive
Itzhak Haimovic, M.D.
NPI 1629075767 · Clinical Neurophysiology Physician · Great Neck, NY
Provider details
- NPI number
- 1629075767
- Entity type
- Individual
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 129650 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
170 Great Neck Road
Great Neck, NY 11021
Phone: (516) 487-4464
Fax: (516) 487-4950
Approximate (ZIP-level) locationGet directions
Mailing address
170 Great Neck Road
Great Neck, NY 11021
Registry dates
- Enumerated
- 2005-07-05
- Last updated
- 2008-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.