MRS. SURANGANEE MARY DE LANEROLLE (NPI# 1144302977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144302977 |
| Entity Type | Individual |
| Full Name | MRS. SURANGANEE MARY DE LANEROLLE |
| Credential | MD |
| Practice Address |
2500 Nesconset Highway Stonybrook Medical Park Bldg 16a Stonybrook NY 11790 |
| Mailing Address |
2500 Nesconset Hwy Bldg 12b Stony Brook NY 11790-2553 |
| Practice Telephone | 6312465454 |
| Practice Fax Number | 6312465902 |
| Mailing Telephone | 6312465454 |
| Mailing Fax Number | 6312465902 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
152287 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00894654 | 05 | |
| WC | CPNN | 01 | |
| OXFORD | CS733 | 01 | |
| DEPT OF LABOR | 107738500 | 01 | |
| RR MEDICARE | 130015641 | 01 | |
| AETNA | 4318339 | 01 | |
| MDNY | AH46028 | 01 | |
| WC | M1522879 | 01 |
| Street Address |
2500 NESCONSET HIGHWAY STONYBROOK MEDICAL PARK BLDG 16A |
| City | STONYBROOK |
| State | NY |
| Zip Code | 11790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407133150 | East Coast Fertility, PC | Obstetrics & Gynecology | 2500 Nesconset Highway, Building 19, Suite 70, Stonybrook, NY 11790 | 2011-11-09 |
| 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 |
|---|---|---|---|---|
| 1124638275 | Oversight Physician Services Pllc | Psychiatry & Neurology | 198 Sussex Dr, Manhasset, NY 11030-3737 | 2020-08-04 |
| 1841818234 | Padmaja Aradhya Md Pllc | Psychiatry & Neurology | 17 Dillon Dr, Dix Hills, NY 11746-7945 | 2020-07-11 |
| 1184279085 | All Island Neurology PC | Psychiatry & Neurology | 11617 Atlantic Ave, Richmond Hill, NY 11418-3141 | 2019-08-07 |
| 1346802352 | Ny Neurology Medicine PC | Psychiatry & Neurology | 305 7th Ave Rm 13c, New York, NY 10001-6155 | 2019-07-01 |
| 1770144636 | Upstate Neurology P.C. | Psychiatry & Neurology | 804 Syska Rd, Ossining, NY 10562-1424 | 2019-06-21 |
| 1659836518 | David T Finkelstein | Psychiatry & Neurology | 3619 Bedford Ave Apt 1b, Brooklyn, NY 11210-5254 | 2019-02-05 |
| 1801360029 | Ghassan George Haddad | Psychiatry & Neurology | 20 Waterside Plz Apt 26e, New York, NY 10010-2665 | 2019-01-22 |
| 1427527472 | Daniel Ahoubim Md PC | Psychiatry & Neurology | 37 W 26th St Rm 204, New York, NY 10010-1145 | 2018-11-20 |
| 1053889378 | Paul Wright, M.d. | Psychiatry & Neurology | 500 N Broadway Ste 16, Jericho, NY 11753-2127 | 2018-11-05 |
| 1770096109 | Wpw Medical, Pllc | Psychiatry & Neurology | 280 Dobbs Ferry Rd Ste 206, White Plains, NY 10607-1912 | 2017-11-07 |
| Find all providers with the same taxonomy | ||||
| City | STONYBROOK |
| Zip Code | 11790 |
Please comment or provide details below to improve the information on MRS. SURANGANEE MARY DE LANEROLLE.
| 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.