Three Village Neurology, P.C. in Port Jefferson Stati - Specialist
Three Village Neurology, P.C. - NPI 1871544015
Three Village Neurology, P.C. is a Specialist in Port Jefferson Stati, New York. Three Village Neurology, P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Three Village Neurology, P.C. is 1871544015. The last update date is 2022-12-09.
Three Village Neurology, P.C.'s current location address is 4511 Nesconset Hwy, Port Jefferson Stati, New York. You can contact this provider via phone number 6317510790 and fax number 6316751022. The mailing address for Three Village Neurology, P.C. is 4511 Nesconset Hwy, Port Jefferson Stati, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Three Village Neurology, P.C. |
|---|---|
| Address | 4511 Nesconset Hwy, Port Jefferson Stati, New York |
| Phone Number | 6317510790 |
| Fax Number | 6316751022 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Bruno D James |
| Credentials | M.D. |
| Telephone Number | 6317510790 |
NPI Number Detail
| NPI Number | 1871544015 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2022-12-09 |
Provider Mailing Address Detail
| Address | 4511 Nesconset Hwy |
|---|---|
| City | Port Jefferson Stati |
| State | New York (NY) |
| Post Code | 117762630 |
| Phone Number | 6317510790 |
| Fax Number | 6316751022 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 234763 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2084N0400X | TAXONOMY |
Post Comment/ Review Below
What is the unique provider identifier assigned to Three Village Neurology, P.C.?
The Three Village Neurology, P.C. has been issued the NPI (National Provider Identifier) 1871544015 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Three Village Neurology, P.C. is physically located?
The Three Village Neurology, P.C. is physically situated at the following address: 4511 Nesconset Hwy, Port Jefferson Stati, NY, 117762630.
What is the Three Village Neurology, P.C.'s specialty and taxonomy code?
The Three Village Neurology, P.C.'s specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1871544015 to Three Village Neurology, P.C.?
The Centers for Medicare & Medicaid Services assigned the 1871544015 to Three Village Neurology, P.C. on 2006-05-12.
When was the information pertaining to Three Village Neurology, P.C. most recently updated or revised?
The details related to Three Village Neurology, P.C., including its address, specialty, and other relevant information, were last updated or revised on 2022-12-09.
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