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Port Neurology Pc
Specialist in Port Jefferson, New York
NPI 1417024001

Port Neurology Pc is a Specialist based in Port Jefferson, NY. Port Neurology Pc practices in Port Jefferson, NY. The NPI Number for Port Neurology Pc is 1417024001 and holds a License No. 196859 (New York).

The current practice location address for Port Neurology Pc is 640 Belle Terre Rd, Port Jefferson, NY and can be reached out via phone at 631-331-8774 and via fax at 631-331-8775.

Location: 640 Belle Terre Rd, Port Jefferson, NY, 11777-1936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417024001
Provider Name
Port Neurology Pc
Credential
Provider Entity Type
Organization
Address
640 Belle Terre Rd, Port Jefferson, NY, 11777-1936
Phone Number
631-331-8774
Fax Number
631-331-8775
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
640 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-1936
Phone Number
631-331-8774
Fax Number
631-331-8775
person
Provider Business Mailing Address Details
Address
640 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-1936
Phone Number
631-331-8774
Fax Number
631-331-8775
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
196859 (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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