Individual
DR. ANNE FELICIA AMBROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
NEUROLOGY ASSOCIATES OF STONY BROOK, 4 SMITH HAVEN MALL SUITE 105, LAKE GROVE, NY 11755-2412
(631) 444-2599
(631) 392-7213
Mailing address
10 BELL CIRCLE ROAD, PORT JEFFERSON, NY 11777
(631) 444-8118
(631) 392-7213
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
235243
NY
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
235243
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02588223
—
NY
Enumeration date
03/10/2006
Last updated
12/18/2024
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