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

South Shore Neurologic Associates PC

Organization Neurology Physician · NPI 1417905969

South Shore Neurologic Associates PC is a Neurology Physician in Islip, New York. Registered with an NPI since 2006.

In the registry since
2006
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

712 Main St
Islip, NY 11751-3620
Phone: (631) 666-3939
Fax: (631) 666-3994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1417905969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Deritis — Certified Medical Manager · (631) 666-3939
NPI enumeratedMay 5, 2006
Last updated in NPPESNovember 8, 2013
Mailing address712 Main St, Islip, NY 11751-3620

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