WINTHROP COMMUNITY MEDICAL AFFILIATES P.C. NPI 1972969111

NPI Information

  • NPI: 1972969111
  • Provider Name: WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C.
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Doing Business As: ADVANCED NEUROLOGICAL SERVICES OF LONG ISLAND
  • CLIA Number: 33D0725715
  • Address: 880 N BROADWAY
    MASSAPEQUA, NY
    ZIP 11758
  • Phone: (516) 541-0300

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NPI Details

WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C. is a neurology psychiatry neurology in Massapequa, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C. NPI is 1972969111. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Neurological Services Of Long Island.

The provider's business location address is:

880 N BROADWAY
MASSAPEQUA, NY
ZIP 11758-351
Phone: (516) 541-0300

The provider's authorized official is Philip D. Ragno .
The authorized official title is Co-president and has the following contact phone number (516) 877-2626.

The CLIA number assigned to this NPI record is 33D0725715 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/4/2016 and was last updated on 1/4/2016.

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
12084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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