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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PORT NEUROLOGY PC

Active Organization

PORT NEUROLOGY PC is a Specialist organization located in PORT JEFFERSON, New York. NPI 1417024001 is currently active in the NPPES registry. Verify at CMS.

Specialist · PORT JEFFERSON, NY

Registration Details

NPI Number
1417024001
Provider Type
Organization
NPI Issued
Nov 29, 2006 (19.714253151977 yrs)
Last Updated
Jan 19, 2011
License
196859 (NY)

Practice Information

Address
640 BELLE TERRE RD
BUILDING H
PORT JEFFERSON, NY, 117771936
Browse NY providers · Browse ZIP 11777
Phone
6313318774
Fax
6313318775
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.