Long Island Neuropsychology, PC
Long Island Neuropsychology, PC provides Clinical Neuropsychologist services in Lake Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
- Specialties on file
- 5
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
290 Hawkins Ave Ste BLake Ronkonkoma, NY 11779-9600
Phone: (631) 334-7884
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Forensic Psychologist (primary) | Taxonomy 103TF0200X · Licence 012998 (NY) |
|---|---|
| Clinical Neuropsychologist | Taxonomy 103G00000X · Licence 012998 (NY) |
| Psychologist | Taxonomy 103T00000X · Licence 012998 (NY) |
| Clinical Psychologist | Taxonomy 103TC0700X · Licence 012998 (NY) |
| Rehabilitation Psychologist | Taxonomy 103TR0400X · Licence 012998 (NY) |
Record details
| NPI number | 1356467419 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shane Bush — President · (631) 334-7884 |
| NPI enumerated | March 21, 2007 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 290 Hawkins Ave, Suite B, Lake Ronkonkoma, NY 11779-9600 |