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575 Underhill Blvd, Suite 128, Syosset, NY 11791 | |
(516) 364-4484 | |
(516) 364-4462 |
Full Name | |
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Type | Facility |
Speciality | Specialist |
Location | 575 Underhill Blvd, Syosset, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831312347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | 197753 (New York) | Secondary |
174400000X | Specialist | 197753 (New York) | Primary |
Provider Name | Jill Bressler |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1306894217 PECOS PAC ID: 4385542364 Enrollment ID: I20031229000756 |
Mailing Address | Practice Location Address |
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575 Underhill Blvd, Suite 128, Syosset, NY 11791-3426 Ph: (516) 364-4484 | 575 Underhill Blvd, Suite 128, Syosset, NY 11791 Ph: (516) 364-4484 |