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PORT NEUROLOGY PC NPI 1417024001


NPI Information

NPI: 1417024001
Provider Name: PORT NEUROLOGY PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
640 BELLE TERRE RD
BUILDING H
PORT JEFFERSON, NY
ZIP 11777
Phone: (631) 331-8774
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PORT NEUROLOGY PC is a specialist in Port Jefferson, 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. PORT NEUROLOGY PC NPI is 1417024001. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

640 BELLE TERRE RD
BUILDING H
PORT JEFFERSON, NY
ZIP 11777-936
Phone: (631) 331-8774
Fax: (631) 331-8775

The provider's authorized official is Ajay V Berdia .
The authorized official title is President and has the following contact phone number (631) 331-8774.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 1/19/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist196859NEW 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.