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Organization
ISLAND NEUROLOGY PC
Active
Organization
ISLAND NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BONNIE GRUBER (BILLING DEPT)
(631) 738-8300
Entity
Organization
Contact information
Practice address
2805 VETERANS MEMORIAL HWY, SUITE 9, RONKONKOMA, NY 11779-7647
(631) 738-8300
(631) 738-8500
Mailing address
2805 VETERANS MEMORIAL HWY, SUITE 9, RONKONKOMA, NY 11779-7647
(631) 738-8300
(631) 738-8500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
181810
NY
Other
Enumeration date
10/27/2010
Last updated
02/09/2011
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