Organization
ISLAND NEUROLOGICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIRENDRA TRIVEDI M.D. (CEO)
(516) 520-5507
Entity
Organization
Contact information
Practice address
922 N BROADWAY, MASSAPEQUA, NY 11758-2303
(516) 520-5507
(516) 520-5493
Mailing address
922 N BROADWAY, MASSAPEQUA, NY 11758-2303
(516) 520-5507
(516) 520-5493
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
209199
NY
Other
Enumeration date
06/10/2015
Last updated
10/23/2023
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