SUFFOLK NEUROLOGY & NEUROPHYSIOLOGY PC (NPI# 1033362884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033362884 |
| Entity Type | Organization |
| Organization Name | SUFFOLK NEUROLOGY & NEUROPHYSIOLOGY PC |
| Practice Address |
2500 Nesconset Hwy Suite 16a Stony Brook NY 11790-2555 |
| Practice Telephone | 6312465454 |
| Practice Fax Number | 6312465902 |
| Mailing Telephone | 6312465454 |
| Mailing Fax Number | 6312465902 |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |
| Authorized Official Name | DR. SURANGANEE MARY DE LANEROLLE (PRESIDENT) |
| Authorized Official Telephone | 6312465454 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
2500 NESCONSET HWY SUITE 16A |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790-2555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556025 | Marc Yland | Anesthesiology | 2500 Nesconset Hwy, Bldg 24c, Stony Brook, NY 11790-2598 | 2005-05-27 |
| 1417471202 | Brandon M Henkowicz Dc, P.C. | Chiropractor | 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 | 2017-08-02 |
| 1902345846 | Michael Fama | Physical Therapist | 2500 Nesconset Hwy, Bldg 22b, Stony Brook, NY 11790-2555 | 2017-02-13 |
| 1790149045 | Three Village Orthodontics | Dentist | 2500 Nesconset Hwy, Building 6-b, Stony Brook, NY 11790-2555 | 2016-04-12 |
| 1790156008 | Morgan Smyth | Physician Assistant | 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 | 2015-10-13 |
| 1679964043 | Diana V Carney | Nurse Practitioner | 2500 Nesconset Hwy, Bldg 16, Suite 63, Stony Brook, NY 11790-2555 | 2015-02-06 |
| 1528469442 | Stoney Brook Dental PC | Dentist | 2500 Nesconset Hwy, Suite 11, Stony Brook, NY 11790-2555 | 2014-09-10 |
| 1235545732 | Robert Mosca Physical Therapy, Pllc | Specialist | 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 | 2014-07-03 |
| 1841606605 | Shana Anthony | Physical Therapist | 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 | 2014-07-01 |
| 1891136073 | Comprehensive Neurology of Long Island PC | Neuromusculoskeletal Medicine & OMM | 2500 Nesconset Hwy, Bldg 5b, Stony Brook, NY 11790-2555 | 2013-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679936256 | Ryan Kyle Jones | Psychiatry & Neurology | Stony Brook Health Sciences Center T 12 020, 101 Nicolls Road, Stony Brook, NY 11794-0001 | 2016-04-01 |
| 1437578127 | Mendelsohn Medical, Pllc | Psychiatry & Neurology | 52 Hillside Rd, Stony Brook, NY 11790-1020 | 2014-04-10 |
| 1932469533 | Yana Krutoshinskaya | Psychiatry & Neurology | 100 Nicolls Rd # Hsc-t12, Stony Brook, NY 11794-1523 | 2012-05-17 |
| 1760757017 | Benjamin Neil Blond | Psychiatry & Neurology | Sbumc Hsc Level 12, Rm 020, Stony Brook, NY 11794-8121 | 2012-03-20 |
| 1083859490 | Lourdes Alicia Bello Espinosa | Psychiatry & Neurology | Stony Brook University Hsc T12 020, Stony Brook, NY 11794-0001 | 2008-12-14 |
| 1659544286 | Dennis W Choi | Psychiatry & Neurology | Health Sciences Center 12 020, Stony Brook University Medical Center, Stony Brook, NY 11794-0001 | 2008-04-03 |
| 1467631176 | Archana Purushotham | Psychiatry & Neurology | Neurology Associates, Stony Brook University Hospital Hsc T12-020, Stony Brook, NY 11794-0001 | 2007-10-30 |
| 1104013325 | Andrew M. Goldfine | Psychiatry & Neurology | Neurology Associates of Stony Brook Ufpc, Sbumc, Hsc Level 12, Rm. 020, Stony Brook, NY 11794-8121 | 2007-10-02 |
| 1326238320 | Nurcan Gursoy | Psychiatry & Neurology | Suny-stony Brook Medical Center, Hsc T12-020, Stony Brook, NY 11794-8121 | 2007-07-26 |
| 1124224118 | Stony Brook University Hospital | Psychiatry & Neurology | Nicolls Road, Hsc T12 Room 020 Stony Brook University Hospital, Stony Brook, NY 11794-8121 | 2007-06-26 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
Please comment or provide details below to improve the information on SUFFOLK NEUROLOGY & NEUROPHYSIOLOGY PC.
| 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.