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

Island Neurology PC

Organization Specialist · NPI 1073813770

Island Neurology PC is a Specialist in Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
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

2805 Veterans Memorial Hwy Ste 9
Ronkonkoma, NY 11779-7647
Phone: (631) 738-8300
Fax: (631) 738-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 181810 (NY)

Record details

NPI number1073813770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bonnie Gruber — Billing Dept · (631) 738-8300
NPI enumeratedOctober 27, 2010
Last updated in NPPESFebruary 9, 2011
Mailing address2805 Veterans Memorial Hwy, Suite 9, Ronkonkoma, NY 11779-7647

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