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Integrative Neurology, P.c.
Specialist in Port Jefferson Station, New York
NPI 1366734014

Integrative Neurology, P.c. is a Specialist based in Port Jefferson Station, NY. Integrative Neurology, P.c. practices in Port Jefferson Station, NY. The NPI Number for Integrative Neurology, P.c. is 1366734014 and holds a License No. 222694 (New York).

The current practice location address for Integrative Neurology, P.c. is 1174 Route 112, Port Jefferson Station, NY and can be reached out via phone at 631-509-1730 and via fax at 631-509-1728.

Location: 1174 Route 112, Port Jefferson Station, NY, 11776-8033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366734014
Provider Name
Integrative Neurology, P.c.
Credential
Provider Entity Type
Organization
Address
1174 Route 112, Port Jefferson Station, NY, 11776-8033
Phone Number
631-509-1730
Fax Number
631-509-1728
Provider Enumeration Date
05/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1174 Route 112
City
Port Jefferson Station
State
New York
Zip
11776-8003
Phone Number
631-509-1730
Fax Number
631-509-1728
person
Provider Business Mailing Address Details
Address
1174 Route 112
City
Port Jefferson Station
State
New York
Zip
11776-8003
Phone Number
631-509-1730
Fax Number
631-509-1728
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
222694 (New York)
Definition
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.
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