Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 0101258412 | VA |
NPI | 1013193382 |
---|---|
Provider Name | Dr. Brian Jeffrey Mchugh |
First Address | West Islip, NY 11795-4939 |
Second Address | West Islip, NY 11795-4939 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2008 |
Last Update Date | 10/07/2019 |