# COMPREHENSIVE NEUROLOGY OF LONG ISLAND PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891136073
- **Authorized official:** DR. MICHAEL GUO M.D. (PRESIDENT)
- **Authorized official phone:** (347) 804-4651

## Contact information

- **Practice address:** 2500 NESCONSET HWY, BLDG 5B, STONY BROOK, NY 11790-2555
- **Practice address phone:** (347) 804-4651
- **Mailing address:** 3 FAIRWAY DR, OLD BETHPAGE, NY 11804-1706
- **Mailing address phone:** (516) 586-4972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 222499 | NY | Yes |

## Other

- **Enumeration date:** 07/16/2013
- **Last updated:** 02/11/2014