| New Wave Neurology Pc | |
|
5 Medical Dr Port Jefferson Station NY 11776-1601 | |
| (631) 364-9119 | |
| (631) 364-9118 |
| Full Name | New Wave Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5 Medical Dr, Port Jefferson Station, New York |
| Authorized Official Name and Position | Warren D Spinner (DR/OWNER) |
| Authorized Official Contact | 6313649119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Wave Neurology Pc 5 Medical Dr Port Jefferson Station NY 11776-1601 Ph: (631) 364-9119 | New Wave Neurology Pc 5 Medical Dr Port Jefferson Station NY 11776-1601 Ph: (631) 364-9119 |
| NPI Number | 1487046058 |
|---|---|
| Provider Enumeration Date | 02/19/2015 |
| Last Update Date | 12/02/2016 |
| Medicare PECOS PAC ID | 7012224538 |
|---|---|
| Medicare Enrollment ID | O20150916001613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487046058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 242921 (New York) | Primary |
| Provider Name | Warren D Spinner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164617544 PECOS PAC ID: 2961575857 Enrollment ID: I20080725000339 |
Suffolk Brain And Nerve, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Route 112 Ste 300, Port Jefferson Station, NY 11776 Phone: 631-410-9420 Fax: 631-410-2017 | |
Turning Point Therapy, Lcsw, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1050 Hallock Ave Ste 2, Port Jefferson Station, NY 11776 Phone: 631-793-9517 | |
Social Work For Counseling For Inspirational Living Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6 Roosevelt Ave Ste 2, Port Jefferson Station, NY 11776 Phone: 631-474-1533 Fax: 631-474-1533 | |
Rise Therapy Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1660 Route 112 Ste B, Port Jefferson Station, NY 11776 Phone: 631-253-8512 | |
Community Growth Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4515 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-240-3471 | |
Ellen J Gordon Licensed Master Social Worker Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Roosevelt Ave, Port Jefferson Station, NY 11776 Phone: 631-736-7707 | |
Changing Seasons Counseling Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Old Town Rd, Port Jefferson Station, NY 11776 Phone: 631-209-7042 |