| Long Island Neurological, Pc | |
|
363 Route 111. Suite #102 Smithtown NY 11787-4756 | |
| (631) 780-6804 | |
| (631) 780-6806 |
| Full Name | Long Island Neurological, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 363 Route 111. Suite #102, Smithtown, New York |
| Authorized Official Name and Position | Samir Haddad (PRESIDENT) |
| Authorized Official Contact | 6317806804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Neurological, Pc 363 Route 111. Suite #102 Smithtown NY 11787-4756 Ph: (631) 738-8300 | Long Island Neurological, Pc 363 Route 111. Suite #102 Smithtown NY 11787-4756 Ph: (631) 780-6804 |
| NPI Number | 1780630657 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 01/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780630657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 220993 (New York) | Primary |
| 225100000X | Physical Therapist | 016755 (New York) | Secondary |
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