Comprehensive Neurology of Long Island PC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

222499 Issued in NY

Legal business name

COMPREHENSIVE NEUROLOGY OF LONG ISLAND PC

Practice address

2500 Nesconset Hwy
BLDG 5B
Stony Brook, NY 11790-2555

Phone

(347) 804-4651

NPI assigned

Jul 16, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Guo, M.D.NPI 1760456461

Title

President

Phone

(347) 804-4651

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Z Guo, M.D.

  • Neurology Physician
  • Stony Brook, NY
  • NPI 1760456461
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1891136073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FAIRWAY DR",
            "city": "OLD BETHPAGE",
            "state": "NY",
            "postal_code": "118041706",
            "telephone_number": "516-586-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BLDG 5B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "347-804-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROLOGY OF LONG ISLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-804-4651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "222499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Maria-Francesca Collazo, PHYSICIAN ASSISTANT
• Dan Cristian Colosi, DDS, PHD
• Pamela Jane Combs, D.D.S.
• Matthew Comito, M.D.
• Carole Commodore, DPM
• Sydney Lynn Conners, MSW
• Margaret Anastasia Connolly, MD
• Gerard Walter Connors, MBBS
• Cara Conrad, MD, MSBS
• Joseph L Conrad, MD

• Neuromusculoskeletal Medicine & OMM Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Neuromusculoskeletal Medicine & OMM Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.