PORT NEUROLOGY PC
NPI 1417024001
Specialist in Port Jefferson, NY
- Organization
- Specialist
About PORT NEUROLOGY PC
This page provides the complete NPI Profile along with additional information for Port Neurology Pc, a provider established in Port Jefferson, New York operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1417024001 assigned on November 2006. The practitioner's primary taxonomy code is 174400000X with license number 196859 (NY). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Ajay V Berdia M.d. (President)
- NPI
- 1417024001 Verify this NPI
- Provider Name
- PORT NEUROLOGY PC
- Entity Type
- Organization
- Location Address
- 640 BELLE TERRE RD BUILDING H PORT JEFFERSON, NY 11777
- Location Phone
- (631) 331-8774
- Location Fax
- (631) 331-8775
- Mailing Address
- 640 BELLE TERRE RD BUILDING H PORT JEFFERSON, NY 11777
- Mailing Phone
- (631) 331-8774
- Mailing Fax
- (631) 331-8775
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-29-2006
- Last Update Date
- 01-19-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 196859
- License State
- NY
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417024001, enumerated as an "organization" on November 29, 2006.
The provider is located at 640 BELLE TERRE RD BUILDING H PORT JEFFERSON, NY 11777 and the phone number is (631) 331-8774.
Specialist with taxonomy code 174400000X.
