ISLAND NEUROLOGY PC
Medical Practice at Veterans Memorial Hwy, Hauppauge, NY

License number
New York 181810
Category
Medical Practice
Type
Specialist
Owner
Name: MISS BONNIE GRUBER
Title: BILLING DEPT
Phone: (631) 738-8300
Address
Address
2805 Veterans Memorial Hwy SUITE 9, Hauppauge, NY 11779
National Provider ID: 1073813770
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ISLAND NEUROLOGY, PC

Hauppauge, NY

Industry:
Medical Doctor's Office
Registration:
Aug 4, 2010
Addresses:
2805 Veterans Memorial Hwy #8, Ronkonkoma, NY 11779 (Physical)
2805 Veterans Mem Hwy, Hauppauge, NY 11779
State ID:
3981132
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Principals:
Bonnie Gruber (Billing Dept),Modesto Fontanez (Medical Doctor),Christine M. Petras (Rpac),...

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