Brookhaven Neurology PLLC
Organization Active NPI Neurology Physician · Medford, NY
NPI 1083047971 · NPPES record last updated Aug 14, 2013
Key facts
- NPI
- 1083047971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 266254 (NY)
- Legal business name
- BROOKHAVEN NEUROLOGY PLLC
- Practice address
- 74 Southaven Ave
Suite G
Medford, NY 11763-3746 - Phone
- (631) 654-2386
- Fax
- (631) 447-3852
- NPI assigned
- Aug 14, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Pina Patel-Pulipati, MD
- Title
- Director
- Phone
- (631) 654-2386
Practitioners 3
-
Soma N Pulipati, MD
National Provider Directory
Locations
74 Southaven Ave
#G
Medford, NY 11763
Phone (631) 654-2386
74 Southaven Ave
Ste G
Medford, NY 11763
Phone (631) 654-2386
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | 266254 | NY | Yes |
| Neurology with Special Qualifications in Child Neurology Physician |
2084N0402X | 266254 | NY |
Addresses
Primary practice location
74 Southaven Ave
Suite G
Medford, NY 11763-3746
Mailing address
74 Southaven Ave
Suite G
Medford, NY 11763-3746
Phone (631) 654-2386
Other providers in Medford, NY
- Hayle M Boyle
- Erin Brady
- Cheryl A Brewer-Jadykin
- Amber Nicole Brice
- Theresa Briscoe
- Tamara Tania Brooks
- Jewel Brown-Crosswell
- Gary Brown
- Kiera Jane Brown
- Nicole Brown
All providers in Medford, NY · Neurology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.