Organization
NEW WAVE NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN D SPINNER D.O (DR/OWNER)
(631) 364-9119
Entity
Organization
Contact information
Practice address
5 MEDICAL DR, PORT JEFFERSON STATION, NY 11776-1601
(631) 364-9119
(631) 364-9118
Mailing address
5 MEDICAL DR, PORT JEFFERSON STATION, NY 11776-1601
(631) 364-9119
(631) 364-9118
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
242921
NY
Other
Enumeration date
02/19/2015
Last updated
12/02/2016
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