MEDICARE: THREE VILLAGE NEUROPHYSIOLOGY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center	234763	NY

General Provider Information

NPI Number	:	1861627077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THREE VILLAGE NEUROPHYSIOLOGY, PLLC

Provider Business Mailing Address
First Line	:	5 ALILAH CT
Second Line	:
City	:	MILLER PLACE
State	:	NY
Zip	:	11764-1902
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 ALILAH CT
Second Line	:
City	:	MILLER PLACE
State	:	NY
Zip	:	11764-1902
Country	:	US
Telephone Number	:	631-521-4137
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES BRUNO
Credential	:	M.D.
Telephone Number	:	631-521-4137

Provider Enumeration Date	:	05/18/2009
Last Update Date	:	05/18/2009

Similar Medicare Providers

1467474130 — GRAND ST PAUL CVS LLC
Practice Location Address:

1902 MILLER TRUNK HWY
DULUTH, MN
55811-1810

Practice Phone: 218-727-8475
Practice Fax: 218-213-9525

1922393198 — DR. KRISTINE MARIE FEIRO PHARM.D.
Practice Location Address:

1902 MILLER TRUNK HWY
DULUTH, MN
55811-1810

Practice Phone: 218-727-8475
Practice Fax: 218-727-8475

1194011742 — BARBARA JAHN
Practice Location Address:

1902 MILLER TRUNK HWY , T-0004
DULUTH, MN
55811-1810

Practice Phone: 218-727-8475
Practice Fax: 218-727-8475

1154617710 — LESLEY CALDWELL
Practice Location Address:

1902 MILLER TRUNK HWY , T0004
DULUTH, MN
55811-1810

Practice Phone: 218-727-8475
Practice Fax: 218-727-8475

1316233562 — GRETCHEN LYNN MADSON
Practice Location Address:

1902 MILLER TRUNK HWY , T-0004
DULUTH, MN
55811-1810

Practice Phone: 218-727-8475
Practice Fax:

1992256978 — LUXOTTICA OF AMERICA INC.
Practice Location Address:

1902 MILLER TRUNK HWY
DULUTH, MN
55811-1810

Practice Phone: 218-213-9521
Practice Fax:

Directions to “THREE VILLAGE NEUROPHYSIOLOGY, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.