Organization · Type 2 NPI

Integrative Neurology, P.c.

Specialist · Port Jefferson Station, NY

NPI number 1366734014 Active

Practice location

1174 Route 112
Port Jefferson Station, NY 11776-8003

Call (631) 509-1730 Map

Fax (631) 509-1728

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X222694 (NY)

Specialist: 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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About NPI 1366734014

Integrative Neurology, P.c.'s National Provider Identifier is 1366734014, issued on May 12, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Oct 5, 2011.