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Organization

BRAIN CARE LONG ISLAND PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN MULLINS M.D. (OWNER)
(833) 774-6333
Entity
Organization

Contact information

Practice address
1175 MONTAUK HIGHWAY SUITE 6, WEST ISLIP, NY 11795-4939
(833) 774-6333
(631) 337-7698
Mailing address
1175 MONTAUK HIGHWAY SUITE 6, WEST ISLIP, NY 11795-4939
(833) 666-6066
(631) 337-7698

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary

Other

Enumeration date
04/08/2022
Last updated
10/06/2023
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