THREE VILLAGE NEUROLOGY P.C. NPI 1871544015

NPI Information

THREE VILLAGE NEUROLOGY, P.C. is a specialist in Stony Brook, 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. THREE VILLAGE NEUROLOGY, P.C. NPI is 1871544015. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2500 NESCONSET HWY
BUILDING 21 B
STONY BROOK, NY
ZIP 11790-555
Phone: (631) 751-0790
Fax: (631) 751-4347

The provider's authorized official is James D Bruno .
The authorized official title is Ceo and has the following contact phone number (631) 751-0790.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 4/10/2009.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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