North Suffolk Neurology, Pc

NPI 1316335540 - Clinic/Center - 261QM2500X

NPI Details
NPI 1316335540
Enumeration Date 12/22/2014
Last Updated 01/02/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name WARREN DANIEL WARREN
Position CHIEF EXECUTIVE OFFICER/MED. DIR.
Phone (631) 364-9119
Fax (631) 364-9118
Practice Location
1500 WILLIAM FLOYD PKWY
SUITE 301
SHIRLEY NY, 11967-1800, US
Phone (631) 364-9119
Fax (631) 364-9118
Business Location
2188 NESCONSET HWY
SUITE 505
STONY BROOK NY, 11790-3503, US
Phone (631) 364-9119
Fax (631) 364-9118
Toxanomy
Taxonomy Code 261QM2500X
License State New York
License Number 242921
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According to our database, North Suffolk Neurology, Pc NPI is 1316335540, taxonomy code is 261QM2500X and license number is 242921, license state is located at New York. North Suffolk Neurology, Pc physically located at 1500 William Floyd Pkwy, Shirley NY, 11967-1800. NPI Number 1033115704 has the healthcare provider type.

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1316335540 NPI number is provided on an as is basis without warranty of any kind. 1316335540 is maintained by the National Plan & Provider Enumeration System. The contents of North Suffolk Neurology, Pc are for informational purposes only.