Provider Demographics
NPI:1184356321
Name:NEUROLOGY SPECIALISTS OF LONG ISLAND, P.C.
Entity type:Organization
Organization Name:NEUROLOGY SPECIALISTS OF LONG ISLAND, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAIR
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:CASCELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-662-1047
Mailing Address - Street 1:400 S OYSTER BAY RD STE 205
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3500
Mailing Address - Country:US
Mailing Address - Phone:516-662-1047
Mailing Address - Fax:
Practice Address - Street 1:400 S OYSTER BAY RD STE 205
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3500
Practice Address - Country:US
Practice Address - Phone:516-887-8808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty