Egnor, Michael

Egnor, Michael is an individual health care provider with primary practice located at 24 Research Way Suite 200, East Setauket NY 11733-3487. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Egnor, Michael can be contacted via phone (631) 444-1213.

Contact Information

Primary practice address
24 Research Way Suite 200 East Setauket NY 11733-3487
Phone: (631) 444-1213
Fax: (631) 444-1535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 185484 New York

Profile Details

NPI number 1376573949
LBN Legal business name Egnor, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jun 11th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376573949 NPPES
New York Other 4398846 AETNA
New York Other 89F84 AETNA
New York MEDICAID 01247456 AETNA

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