# BRIAN MAYRSOHN MD PLLC

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

## Provider details

- **NPI number:** 1942992235
- **Authorized official:** DEBORAH STANCO (ADMINISTRATOR)
- **Authorized official phone:** (516) 458-0831

## Contact information

- **Practice address:** 200 BELLE TERRE RD STE 300, PORT JEFFERSON, NY 11777-1928
- **Practice address phone:** (631) 780-4470
- **Practice address fax:** (914) 366-6101
- **Mailing address:** PO BOX 2067, OLDSMAR, FL 34677-7067
- **Mailing address phone:** (914) 366-6161
- **Mailing address fax:** (914) 366-6101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2023
- **Last updated:** 07/16/2025