| Brookhaven Neurology Pllc | |
|
74 Southaven Ave Suite G Medford NY 11763-3746 | |
| (631) 654-2386 | |
| (631) 447-3852 |
| Full Name | Brookhaven Neurology Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 74 Southaven Ave, Medford, New York |
| Authorized Official Name and Position | Pina Patel-pulipati (DIRECTOR) |
| Authorized Official Contact | 6316542386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookhaven Neurology Pllc 74 Southaven Ave Suite G Medford NY 11763-3746 Ph: (631) 654-2386 | Brookhaven Neurology Pllc 74 Southaven Ave Suite G Medford NY 11763-3746 Ph: (631) 654-2386 |
| NPI Number | 1083047971 |
|---|---|
| Provider Enumeration Date | 08/14/2013 |
| Last Update Date | 08/14/2013 |
| Medicare PECOS PAC ID | 8022242635 |
|---|---|
| Medicare Enrollment ID | O20131015001674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083047971 | NPI | - | NPPES |
| Provider Name | Pina Patel-pulipati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760653117 PECOS PAC ID: 1355575861 Enrollment ID: I20131015001888 |
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