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

Long Island Neurological, PC

Organization Neurology Physician · NPI 1780630657

Long Island Neurological, PC is a Neurology Physician in Smithtown, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
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

363 Route 111 Ste #102
Smithtown, NY 11787-4756
Phone: (631) 780-6804
Fax: (631) 780-6806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 220993 (NY)
Physical Therapist Taxonomy 225100000X · Licence 016755 (NY)

Record details

NPI number1780630657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samir Haddad — President · (631) 780-6804
NPI enumeratedMay 25, 2006
Last updated in NPPESJanuary 19, 2012
Mailing address363 Route 111. Suite #102, Smithtown, NY 11787-4756

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