Neurology Associates Of Stony Brook, University Faculty Practice Corpo | |
101 Nicolls Rd Rm 20 Stony Brook NY 11794-0001 | |
(631) 444-2599 | |
(631) 441-4744 |
Full Name | Neurology Associates Of Stony Brook, University Faculty Practice Corpo |
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Speciality | Psychiatry & Neurology |
Location | 101 Nicolls Rd Rm 20, Stony Brook, New York |
Authorized Official Name and Position | Marc W Halterman (PRESIDENT / DIRECTOR) |
Authorized Official Contact | 6314442599 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neurology Associates Of Stony Brook, University Faculty Practice Corpo Po Box 1554 Stony Brook NY 11790-0988 Ph: (631) 444-8462 | Neurology Associates Of Stony Brook, University Faculty Practice Corpo 101 Nicolls Rd Rm 20 Stony Brook NY 11794-0001 Ph: (631) 444-2599 |
NPI Number | 1699720888 |
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Provider Enumeration Date | 05/24/2006 |
Last Update Date | 09/26/2022 |
Certification Date | 09/26/2022 |
Medicare PECOS PAC ID | 5193617116 |
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Medicare Enrollment ID | O20040325001262 |
Identifier | Type | State | Issuer |
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1699720888 | NPI | - | NPPES |
01379102 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Michael Guido |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1477594034 PECOS PAC ID: 0840180758 Enrollment ID: I20040316000822 |
Provider Name | Bruce R Mayerson |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1477657666 PECOS PAC ID: 8325028863 Enrollment ID: I20040723000893 |
Provider Name | Rahman Pourmand |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1447207386 PECOS PAC ID: 2961450572 Enrollment ID: I20050111000290 |
Provider Name | Nancy A Mclinskey |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1376566117 PECOS PAC ID: 4880699933 Enrollment ID: I20060922000276 |
Provider Name | Rebecca Spiegel |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1114974821 PECOS PAC ID: 3779581863 Enrollment ID: I20061128000407 |
Provider Name | Allamprabhu Sahebgouda Patil |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1114019700 PECOS PAC ID: 0042317620 Enrollment ID: I20070515000608 |
Provider Name | Robert M Trepel |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1841230042 PECOS PAC ID: 9830297373 Enrollment ID: I20070607000394 |
Provider Name | Guy J Schwartz |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1265592943 PECOS PAC ID: 4183724016 Enrollment ID: I20070706000590 |
Provider Name | Nurcan Gursoy |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1326238320 PECOS PAC ID: 6901991199 Enrollment ID: I20071003000238 |
Provider Name | Denise E Rigo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285726422 PECOS PAC ID: 6305933144 Enrollment ID: I20071026000102 |
Provider Name | Scott A Mcwilliams |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1013918812 PECOS PAC ID: 6204721087 Enrollment ID: I20080701000145 |
Provider Name | Augustine C Romano |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1255486353 PECOS PAC ID: 5597668079 Enrollment ID: I20080701000159 |
Provider Name | Lourdes A Bello-espinosa |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1083859490 PECOS PAC ID: 1153479472 Enrollment ID: I20090424000422 |
Provider Name | Jill W Miller-horn |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1639337504 PECOS PAC ID: 7618028481 Enrollment ID: I20090708000284 |
Provider Name | Agnieszka K Kowalska |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1538320189 PECOS PAC ID: 0042366106 Enrollment ID: I20090915000698 |
Provider Name | Patricia M Melville |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033440896 PECOS PAC ID: 3678617438 Enrollment ID: I20100217000077 |
Provider Name | Patricia K Coyle |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1124068713 PECOS PAC ID: 3678599396 Enrollment ID: I20101013000779 |
Provider Name | Mary R Andriola |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1750320321 PECOS PAC ID: 0244233864 Enrollment ID: I20101015000936 |
Provider Name | Cara E Harth |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1104866706 PECOS PAC ID: 0446444814 Enrollment ID: I20101029000374 |
Provider Name | Cynthia M Storetveit |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245335033 PECOS PAC ID: 7113194127 Enrollment ID: I20120113000732 |
Provider Name | Galyna Pushchinska |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1710147558 PECOS PAC ID: 3375786817 Enrollment ID: I20130830000481 |
Provider Name | Louis Manganas |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1891966248 PECOS PAC ID: 0941434864 Enrollment ID: I20131009000359 |
Provider Name | Patrick J Dooley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578930798 PECOS PAC ID: 1557665965 Enrollment ID: I20160205000062 |
Provider Name | Elizabeth M Cruz |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1437419017 PECOS PAC ID: 4688965155 Enrollment ID: I20160614001873 |
Provider Name | Jonathan G Guterman |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1720285349 PECOS PAC ID: 6608091061 Enrollment ID: I20160622001405 |
Provider Name | Yana Krutoshinskaya |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1932469533 PECOS PAC ID: 0840588802 Enrollment ID: I20161007000894 |
Provider Name | Sheryll A Baltazar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184162620 PECOS PAC ID: 4688959737 Enrollment ID: I20170403000413 |
Provider Name | Jason Mathew |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1356617179 PECOS PAC ID: 0749558484 Enrollment ID: I20170621001066 |
Provider Name | Carine W Maurer |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1164748984 PECOS PAC ID: 5395011050 Enrollment ID: I20171024002894 |
Provider Name | Simona O. Treidler |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1376888008 PECOS PAC ID: 5890041636 Enrollment ID: I20180709001984 |
Provider Name | Cynthia J Onufrak |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780153072 PECOS PAC ID: 0345586988 Enrollment ID: I20190117003954 |
Provider Name | Gina M Holzapfel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790348274 PECOS PAC ID: 5698002319 Enrollment ID: I20190802002587 |
Provider Name | Heidy N Merius |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881074615 PECOS PAC ID: 6800123886 Enrollment ID: I20190814001026 |
Provider Name | Victoria Titoff |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1992140768 PECOS PAC ID: 4880972868 Enrollment ID: I20191011000908 |
Provider Name | Lauren Victoria Deniro |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1518255181 PECOS PAC ID: 5991016412 Enrollment ID: I20200211001517 |
Provider Name | Shennan A Weiss |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1033436662 PECOS PAC ID: 5698997179 Enrollment ID: I20200416002524 |
Provider Name | Alison Caruana |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1003295163 PECOS PAC ID: 0446567986 Enrollment ID: I20200908001698 |
Provider Name | Kamil Stefanowski |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1033505102 PECOS PAC ID: 4587082920 Enrollment ID: I20200916001650 |
Provider Name | Bridget A Leone |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1477895167 PECOS PAC ID: 2062752926 Enrollment ID: I20210811000404 |
Provider Name | Tiffani Gurcharan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487195715 PECOS PAC ID: 2062805062 Enrollment ID: I20220216000886 |
Provider Name | Alyssa M Policastro |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750024949 PECOS PAC ID: 3476932708 Enrollment ID: I20220616002222 |
Provider Name | Ryan C Corn |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1386140705 PECOS PAC ID: 0143696880 Enrollment ID: I20221020000699 |
Provider Name | Neil A Nadkarni |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1306264478 PECOS PAC ID: 1951684596 Enrollment ID: I20221115000092 |
Provider Name | Mary K Hahn |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1275021081 PECOS PAC ID: 8426394685 Enrollment ID: I20230706002628 |
Provider Name | Neil J Patel |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1295155364 PECOS PAC ID: 5193076578 Enrollment ID: I20230811002034 |
Provider Name | Andrew C Dougherty |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1346737301 PECOS PAC ID: 2466809983 Enrollment ID: I20231106001071 |
Provider Name | Thomas J Hirschauer |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1679004006 PECOS PAC ID: 6709231152 Enrollment ID: I20240603003975 |
George G. Fairey Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 N Country Rd Ste 2a, Stony Brook, NY 11790 Phone: 631-689-5155 | |
John G. Cottone, Psychologist, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1099 N Country Rd, Suite L, Stony Brook, NY 11790 Phone: 631-941-2210 Fax: 631-941-2210 | |
Department Of Neurology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Nicolls Road, Hsc T12 Room 020 Stony Brook University Hospital, Stony Brook, NY 11794 Phone: 631-444-2599 Fax: 631-444-4743 | |
Michael L Nissnbaum, Ph.d., Psychologist, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4 Coed Ln, Stony Brook, NY 11790 Phone: 631-737-9500 Fax: 631-737-9512 | |
Corina Segal Mental Health Counseling, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Nesconset Hwy Bldg 4b, Stony Brook, NY 11790 Phone: 631-903-1087 | |
Ryan L Clements Psy.d. Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1099 N Country Rd, Unit L, Stony Brook, NY 11790 Phone: 631-941-2210 | |
Brett M. Liquori, Licensed Psychologist, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Westwood Ave, Stony Brook, NY 11790 Phone: 631-444-5354 Fax: 631-444-5354 |