Organization
LONG ISLAND NEUROSCIENCE MEDICAL CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MULLINS MD (MEMBER)
(833) 666-6066
Entity
Organization
Contact information
Practice address
1175 MONTAUK HWY STE 6, WEST ISLIP, NY 11795-4939
(833) 666-6066
(631) 337-7698
Mailing address
1175 MONTAUK HWY STE 6, WEST ISLIP, NY 11795-4939
(833) 666-6066
(631) 337-7698
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
09/25/2023
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