Organization
BRIAN MAYRSOHN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH STANCO (ADMINISTRATOR)
(516) 458-0831
Entity
Organization
Contact information
Practice address
200 BELLE TERRE RD STE 300, PORT JEFFERSON, NY 11777-1928
(631) 780-4470
(914) 366-6101
Mailing address
PO BOX 2067, OLDSMAR, FL 34677-7067
(914) 366-6161
(914) 366-6101
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7502147
—
NY
Enumeration date
05/24/2023
Last updated
07/16/2025
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