Brookhaven Neurology Pllc

NPI 1083047971 - Psychiatry & Neurology - 2084N0402X

NPI Details
NPI 1083047971
Enumeration Date 08/14/2013
Last Updated 08/14/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name PINA PINA
Position DIRECTOR
Phone (631) 654-2386
Fax (631) 447-3852
Practice Location
74 SOUTHAVEN AVE
SUITE G
MEDFORD NY, 11763-3746, US
Phone (631) 654-2386
Fax (631) 447-3852
Business Location
74 SOUTHAVEN AVE
SUITE G
MEDFORD NY, 11763-3746, US
Phone (631) 654-2386
Fax (631) 447-3852
Toxanomy
Taxonomy Code 2084N0402X
License State New York
License Number 266254
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According to our database, Brookhaven Neurology Pllc NPI is 1083047971, taxonomy code is 2084N0402X and license number is 266254, license state is located at New York. Brookhaven Neurology Pllc physically located at 74 Southaven Ave, Medford NY, 11763-3746. NPI Number 1033115704 has the healthcare provider type.

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1083047971 NPI number is provided on an as is basis without warranty of any kind. 1083047971 is maintained by the National Plan & Provider Enumeration System. The contents of Brookhaven Neurology Pllc are for informational purposes only.