Casey Neville, DO
Emergency Medicine in Patchogue, NY. Individual provider (NPI-1).
NPI number1679136451
StatusActive
Last updated in NPPESJun 26, 2023
Details
- NPI
- 1679136451
- Entity type
- Individual (NPI-1)
- Name
- Casey Neville
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2019
- Certification date
- Jun 26, 2023
- Last updated
- Jun 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 317707 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
101 Hospital RdPatchogue, NY 11772-4927
Phone 631-654-7100
Mailing address
1000 Montauk HwyWest Islip, NY 11795-4927
Fax 631-376-3420
Other practice locations
1000 Montauk Hwy
West Islip, NY 11795-4927
West Islip, NY 11795-4927
Phone 631-376-4163 · Fax 631-376-3420
1701 Oak Park Blvd
Lake Charles, LA 70601-4927
Lake Charles, LA 70601-4927
Phone 337-494-3000
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All 23 Emergency Medicine Physician providers in Patchogue · All 1,282 providers in Patchogue
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