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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 Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ISLAND NEUROLOGY PC

NPI Number 1073813770
LBN Legal business name ISLAND NEUROLOGY PC
Authorized official BONNIE GRUBER - (BILLING DEPT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2010
Last updated 02/09/2011 - About 15 years ago
Identifiers
NY License # 181810
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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