Organization
COMPREHENSIVE NEUROLOGY OF LONG ISLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GUO M.D. (PRESIDENT)
(347) 804-4651
Entity
Organization
Contact information
Practice address
2500 NESCONSET HWY, BLDG 5B, STONY BROOK, NY 11790-2555
(347) 804-4651
Mailing address
3 FAIRWAY DR, OLD BETHPAGE, NY 11804-1706
(516) 586-4972
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
222499
NY
Other
Enumeration date
07/16/2013
Last updated
02/11/2014
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