1. Home
  2. Directory
  3. New York
  4. Port Jefferson Station
  5. Psychiatry Neurology
  6. NPI Profile

SUFFOLK BRAIN AND NERVE, PLLC
NPI 1083132658
Psychiatry & Neurology - Neurology in Port Jefferson Station, NY

Active since September 05, 2017
1010 ROUTE 112 STE 300, PORT JEFFERSON STATION, NY 11776(631) 410-9420(631) 410-2017 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 25, 2020, Jun 16, 2018 (2 updates tracked since 2018).

About Suffolk Brain And Nerve, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUFFOLK BRAIN AND NERVE, PLLC (NPI 1083132658) is a healthcare organization registered as a neurology in Port Jefferson Station, New York and active in the NPI registry since September 2017. The organization lists Christopher M Sinclair, Owner, as its authorized official.

NPPES Registry Identity

NPI1083132658
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameSUFFOLK BRAIN AND NERVE, PLLC
Location Address1010 ROUTE 112 STE 300Port Jefferson Station, NY 11776-3386
Mailing Address1010 Route 112 Ste 300Port Jefferson Station, NY 11776-3386 · (631) 410-9420 · Fax (631) 410-2017
Phone(631) 410-9420
Fax(631) 410-2017
Organization SubpartNo
Authorized OfficialChristopher M SinclairOwner · (631) 560-7290
Enumeration DateSeptember 5, 2017
Last NPPES UpdateFebruary 25, 20202 updates tracked since enumeration
✔ NPI 1083132658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NY · 232434
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1010 ROUTE 112 STE 300, Port Jefferson Station, NY 11776
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN MARIE RUIZ PA-C
Physician Assistant (Medical)
1010 ROUTE 112 STE 300
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 364-9119
DR. MARYANA LIEDKE DO
Psychiatry & Neurology (Neurology)
1010 ROUTE 112 STE 300
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 364-9119
MEDICAL SERVICES OF NEW HYDE PARK PC
Psychiatry & Neurology (Neurology)
1010 ROUTE 112 STE 300
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 886-4805
TRUE NORTH MEDICAL AT NORTH SUFFOLK PLLC
Psychiatry & Neurology (Neurology)
1010 ROUTE 112 STE 300
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 886-4985

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suffolk Brain And Nerve, PLLC's NPI number?

The NPI number for Suffolk Brain And Nerve, PLLC is 1083132658. It was assigned to this organization in the NPPES registry on September 5, 2017.

Where is Suffolk Brain And Nerve, PLLC located?

Suffolk Brain And Nerve, PLLC is located at 1010 Route 112 Ste 300, Port Jefferson Station, NY 11776. The listed phone number is (631) 410-9420.

What is Suffolk Brain And Nerve, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Suffolk Brain And Nerve, PLLC was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.