Organization
THREE VILLAGE NEUROLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D BRUNO M.D. (CEO)
(631) 751-0790
Entity
Organization
Contact information
Practice address
4511 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2630
(631) 751-0790
(631) 675-1022
Mailing address
4511 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2630
(631) 751-0790
(631) 675-1022
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
234763
NY
2084E0001X
Epilepsy Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2084N0400X
TAXONOMY
—
Enumeration date
05/12/2006
Last updated
12/09/2022
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