National Provider Identifier Database

ISLAND NEUROLOGY PC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

ISLAND NEUROLOGY PC
2805 VETERANS MEMORIAL HWY
SUITE 9
RONKONKOMA, NY11779-7647
Phone: 631-738-8300
Fax: 631-738-8500
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for ISLAND NEUROLOGY PC

NPI Number 1073813770
Legal business name
LBN
ISLAND NEUROLOGY PC
Authorized official BONNIE GRUBER - (BILLING DEPT)
Entity Organization
Organization subpart No
Enumeration date 10/27/2010
Last updated 02/09/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 181810

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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