Individual
DR. MICHAEL NEMYTOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1175 MONTAUK HWY STE 3, WEST ISLIP, NY 11795-4939
(631) 500-9400
Mailing address
1175 MONTAUK HWY STE 3, WEST ISLIP, NY 11795-4939
(631) 500-9400
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
308273
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2016
Last updated
02/11/2025
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