LONG ISLAND NEUROLOGICAL, PC (NPI# 1639584543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639584543 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND NEUROLOGICAL, PC |
| Practice Address |
2805 Veterans Memorial Hwy Suite 8 Ronkonkoma NY 11779-7647 |
| Practice Telephone | 4809261115 |
| Practice Fax Number | 4808131868 |
| Mailing Telephone | 6317388300 |
| Mailing Fax Number | 4808131868 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |
| Authorized Official Name | JANET L GROSCHEL (SECRETARY) |
| Authorized Official Telephone | 4809261115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780630657 | Long Island Neurological, PC | Physical Therapist | 363 Route 111. Suite #102, Smithtown, NY 11787-4756 | 2006-05-25 |
| 1174892798 | Long Island Neurological, PC | Physical Therapist | 10119 39th Ave, Suite # 101, Corona, NY 11368-4806 | 2011-12-28 |
| Street Address |
2805 VETERANS MEMORIAL HWY SUITE 8 |
| City | RONKONKOMA |
| State | NY |
| Zip Code | 11779-7647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395826 | Modesto Fontanez | Neurological Surgery | 2805 Veterans Memorial Hwy, Suite 8, Ronkonkoma, NY 11779-7647 | 2005-06-08 |
| 1164971297 | Structure Pro Chiropractic P.C. | Chiropractor | 2805 Veterans Memorial Hwy, #8, Ronkonkoma, NY 11779-7647 | 2016-09-30 |
| 1114317328 | Connetquot Chiropractic | Chiropractor | 2805 Veterans Memorial Hwy, Suite 8, Ronkonkoma, NY 11779-7647 | 2015-01-26 |
| 1285033662 | Jordan Sudberg Md P.C. | Physical Medicine & Rehabilitation | 2805 Veterans Memorial Hwy, Suite 8, Ronkonkoma, NY 11779-7647 | 2014-08-21 |
| 1346673126 | Focus Rx Pharmacy Services Inc | Pharmacy | 2805 Veterans Memorial Hwy, Suites 19-22, Ronkonkoma, NY 11779-7647 | 2013-08-15 |
| 1942567235 | John Wallman | Chiropractor | 2805 Veterans Memorial Hwy, Ste 8, Ronkonkoma, NY 11779-7680 | 2012-04-12 |
| 1073813770 | Island Neurology PC | Specialist | 2805 Veterans Memorial Hwy, Suite 9, Ronkonkoma, NY 11779-7647 | 2010-10-27 |
| 1235380031 | United Rehab Physical Therapy P.C. | Physical Therapist | 2805 Veterans Memorial Hwy, Suite # 9, Ronkonkoma, NY 11779-7647 | 2008-10-10 |
| 1568618460 | Karlyn Taylor Nafey | Physician Assistant | 2805 Veterans Memorial Hwy, Ronkonkoma, NY 11779-7647 | 2008-08-11 |
| 1992984223 | Christine Marie Petras | Physician Assistant | 2805 Veterans Memorial Hwy, Suite 8, Ronkonkoma, NY 11779-7647 | 2007-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750929139 | Sebastian Godinez | Student in an Organized Health Care Education/Training Program | 11 First Street, Ronkonkoma, NY 11779 | 2019-12-16 |
| 1487149860 | John Deming | Student in an Organized Health Care Education/Training Program | 142 - 02 20th Avenue, Flushing, NY 11779 | 2018-06-27 |
| 1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
| 1932621935 | Vincent Joseph Lopreto | Counselor | 253 Lake Shore Road, Ronkonkoma, NY 11779 | 2017-07-11 |
| 1598295271 | Dalas Taddeo | Licensed Practical Nurse | 4490 Express Drive S, Ronkonkoma, NY 11779 | 2017-06-15 |
| 1790214112 | Pamela Ferrante | Social Worker | 131 Avenue D, Ronkonkoma, NY 11779 | 2017-06-08 |
| 1255868915 | Bari Home Care LLC | Health Maintenance Organization | 4417 Express Drive North, Ronkonkoma, NY 11779 | 2017-05-12 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1831552025 | Jacqueline Galdamez | Social Worker | 979 Johnson Avenue, Ronkonkoma, NY 11779 | 2016-04-04 |
| 1891192530 | Alex Mitchell Pollack | Massage Therapist | 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 | 2014-11-24 |
| Find all providers in zip 11779 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982236600 | Briana M Mullady | Specialist | 165 Cherokee St, Ronkonkoma, NY 11779-4604 | 2020-02-11 |
| 1396386744 | Jennifer Eileen Kelly | Specialist | 2354 Ocean Ave, Ronkonkoma, NY 11779-6578 | 2019-10-07 |
| 1306487533 | Emily C Dinger | Specialist | 369 Peconic St, Ronkonkoma, NY 11779-6914 | 2019-09-29 |
| 1528535275 | Daniann Stapleton | Specialist | 48 Calvert Ave, Ronkonkoma, NY 11779-5900 | 2018-10-31 |
| 1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
| 1841654175 | Rosann Wolf | Specialist | 411 Ontario St, Ronkonkoma, NY 11779-5109 | 2016-04-13 |
| 1083083356 | Jennifer Elliott | Specialist | 463 Ontario St, Ronkonkoma, NY 11779-5109 | 2015-09-17 |
| 1558737221 | Allison Tursi | Specialist | 374 Ontario St, Ronkonkoma, NY 11779-4949 | 2015-08-18 |
| 1225418569 | Catherine Monaco | Specialist | 2888 Pond Rd, Ronkonkoma, NY 11779-3349 | 2015-06-02 |
| 1396150934 | Vanessa Joan Rivoire | Specialist | 2 Old Rosevale Ave, Ronkonkoma, NY 11779-5025 | 2014-06-23 |
| Find all providers in RONKONKOMA | ||||
| City | RONKONKOMA |
| Zip Code | 11779 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.