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Organization
INTEGRATIVE NEUROLOGY, P.C.
Active
Organization
INTEGRATIVE NEUROLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK WOHLSEIN TELANG M.D. (PRESIDENT)
(631) 509-1730
Entity
Organization
Contact information
Practice address
1174 ROUTE 112, PORT JEFFERSON STATION, NY 11776-8003
(631) 509-1730
(631) 509-1728
Mailing address
1174 ROUTE 112, PORT JEFFERSON STATION, NY 11776-8033
(631) 509-1730
(631) 509-1728
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
222694
NY
Other
Enumeration date
05/12/2011
Last updated
10/05/2011
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