Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Integrative Neurology, PC

Organization Specialist · NPI 1366734014

Integrative Neurology, PC is a Specialist in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1174 Route 112
Port Jefferson Station, NY 11776-8003
Phone: (631) 509-1730
Fax: (631) 509-1728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 222694 (NY)

Record details

NPI number1366734014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Telang — President · (631) 509-1730
NPI enumeratedMay 12, 2011
Last updated in NPPESOctober 5, 2011
Mailing address1174 Route 112, Port Jefferson Station, NY 11776-8033

Other providers in Port Jefferson Station