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Contact Information

COURTNEY PENDLETON, MD
380 MONTAUK HWY
WEST ISLIP, NY11795-4403
 Phone: 631-482-9977
 Fax: 631-422-4169
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for COURTNEY PENDLETON · (Female)

NPI Number 1467741884
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2011
Last updated 10/31/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • MN License # 65254
  • NY License # 304536
  • WI License # 71646
Hospital affiliation(s)
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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