Island Neurology PC

NPI #1073813770 in Ronkonkoma, New York

Provider Information

NPI Number: 1073813770
Entity Type: Organization
Organization Name: Island Neurology PC
Primary Specialty: Specialist
Enumeration Date: Oct 27, 2010
Last Updated: Feb 9, 2011

Practice Location

Address: 2805 VETERANS MEMORIAL HWY
Address 2: SUITE 9
City: Ronkonkoma
State: New York
ZIP Code: 11779-7647
Phone: (631) 738-8300

Authorized Official

Name: MISS BONNIE GRUBER
Title: BILLING DEPT
Phone: (631) 738-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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