OrganizationActive
Integrative Neurology, P.C.
NPI 1366734014 · Specialist · Port Jefferson Station, NY
Provider details
- NPI number
- 1366734014
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Frank Telang, President(631) 509-1730
- License
- 222694 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1174 Route 112
Port Jefferson Station, NY 11776-8003
Phone: (631) 509-1730
Fax: (631) 509-1728
Street-level locationGet directions
Mailing address
1174 Route 112
Port Jefferson Station, NY 11776-8033
Registry dates
- Enumerated
- 2011-05-12
- Last updated
- 2011-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.