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Organization
COMPREHENSIVE NEUROLOGY OF LONG ISLAND PC
Active
Organization
COMPREHENSIVE NEUROLOGY OF LONG ISLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GUO M.D. (PRESIDENT)
(347) 804-4651
Entity
Organization
Contact information
Practice address
2500 NESCONSET HWY, BLDG 5B, STONY BROOK, NY 11790-2555
(347) 804-4651
Mailing address
3 FAIRWAY DR, OLD BETHPAGE, NY 11804-1706
(516) 586-4972
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
222499
NY
Other
Enumeration date
07/16/2013
Last updated
02/11/2014
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