Organization
LONG ISLAND NEUROLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA BOCCI (OFFICE MANAGER)
(516) 887-3516
Entity
Organization
Contact information
Practice address
360 MERRICK RD FL 1, LYNBROOK, NY 11563-2526
(516) 887-3516
(516) 887-0331
Mailing address
360 MERRICK RD FL 1, LYNBROOK, NY 11563-2526
(516) 887-3516
(516) 887-0331
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
120379,152638,159236
NY
2085R0202X
Diagnostic Radiology Physician
147527
NY
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02597928
—
NY
Enumeration date
12/20/2005
Last updated
09/24/2024
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