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Contact Information

BRIAN MAYRSOHN MD PLLC
200 BELLE TERRE RD STE 300
PORT JEFFERSON, NY11777-1928
 Phone: 631-780-4470
 Fax: 914-366-6101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for BRIAN MAYRSOHN MD PLLC

NPI # 1942992235
LBN Legal business name BRIAN MAYRSOHN MD PLLC
Authorized official DEBORAH STANCO - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2023
Last updated 07/16/2025 - About 11 months ago
Identifiers
NY Medicaid 7502147
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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