ISLAND NEUROLOGY PC NPI 1073813770

NPI Information

  • NPI: 1073813770
  • Provider Name: ISLAND NEUROLOGY PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 2805 VETERANS MEMORIAL HWY
    SUITE 9
    RONKONKOMA, NY
    ZIP 11779
  • Phone: (631) 738-8300

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NPI Details

ISLAND NEUROLOGY PC is a specialist in Ronkonkoma, NY. The provider is 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. ISLAND NEUROLOGY PC NPI is 1073813770. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2805 VETERANS MEMORIAL HWY
SUITE 9
RONKONKOMA, NY
ZIP 11779-647
Phone: (631) 738-8300
Fax: (631) 738-8500

The provider's authorized official is Bonnie Gruber .
The authorized official title is Billing Dept and has the following contact phone number (631) 738-8300.

The enumeration date for this NPI number is 10/27/2010 and was last updated on 2/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist181810NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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