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

New Wave Neurology PC

Organization Neurology Physician · NPI 1487046058

New Wave Neurology PC is a Neurology Physician in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
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

5 Medical Dr
Port Jefferson Station, NY 11776-1601
Phone: (631) 364-9119
Fax: (631) 364-9118
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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 242921 (NY)

Record details

NPI number1487046058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Warren Spinner — Dr/Owner · (631) 364-9119
NPI enumeratedFebruary 19, 2015
Last updated in NPPESDecember 2, 2016
Mailing address5 Medical Dr, Port Jefferson Station, NY 11776-1601

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