South Shore Neurologic Associates P.c. is a Neurology Clinic in Islip, New York. It is located at 712 Main St, Islip, NY and its contact number is 631-666-3939. The authorized person for South Shore Neurologic Associates P.c. is Ms. Angela Deritis
who is Certified Medical Manager of the clinic and his/her contact number is 631-666-3939.
South Shore Neurologic Associates P.c. Clinic specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Clinic Profile:
South Shore Neurologic Associates P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | South Shore Neurologic Associates P.c. |
| Specialization: | Neurology |
| Clinic Address: | 712 Main St, Islip,
New York, 11751-3620 |
| Phone: | 631-666-3939 |
| Fax: | 631-666-3994 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Angela Deritis |
| Position: | Certified Medical Manager |
| Contact Number: | 631-666-3939 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for South Shore Neurologic Associates P.c. clinic are as mentioned below.
| NPI Number: | 1417905969 |
| NPI Enumeration Date: | 05 May, 2006 |
| NPI Last Update On: | 08 Nov, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Shore Neurologic Associates P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Neurology | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 01259347 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | South Shore Neurologic Associates P.c.
712 Main St,
Islip, New York |
| Zip: | 11751-3620 |
| Phone Number: | 631-666-3939 |
| Fax Number: | 631-666-3994 |
Patients can reach South Shore Neurologic Associates P.c. at
712 Main St, Islip, New York or can
call to book an appointment on 631-666-3939.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.