Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Shore Neurologic Associates PC

Organization Neurology Physician · NPI 1417905969

South Shore Neurologic Associates PC provides Neurology Physician services 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 Not confirmed with CMS for 12 years — call before visiting
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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