| Stony Brook University Hospital | |
|
Nicolls Rd Stony Brook NY 11794-9112 | |
| (631) 444-4100 | |
| (631) 444-4082 |
| Full Name | Stony Brook University Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | Nicolls Rd, Stony Brook, New York |
| Authorized Official Name and Position | Gary E Bie (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6314444100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stony Brook University Hospital Nicolls Rd Stony Brook NY 11794-9112 Ph: (631) 444-4100 | Stony Brook University Hospital Nicolls Rd Stony Brook NY 11794-9112 Ph: (631) 444-4100 |
| NPI Number | 1649294026 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 11/12/2012 |
| Medicare PECOS PAC ID | 2365341856 |
|---|---|
| Medicare Enrollment ID | O20120802000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649294026 | NPI | - | NPPES |
| 00357795 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 5151001H (New York) | Primary |
George G. Fairey Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 N Country Rd Ste 2a, Stony Brook, NY 11790 Phone: 631-689-5155 | |
John G. Cottone, Psychologist, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1099 N Country Rd, Suite L, Stony Brook, NY 11790 Phone: 631-941-2210 Fax: 631-941-2210 | |
Department Of Neurology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Nicolls Road, Hsc T12 Room 020 Stony Brook University Hospital, Stony Brook, NY 11794 Phone: 631-444-2599 Fax: 631-444-4743 | |
Michael L Nissnbaum, Ph.d., Psychologist, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4 Coed Ln, Stony Brook, NY 11790 Phone: 631-737-9500 Fax: 631-737-9512 | |
Corina Segal Mental Health Counseling, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Nesconset Hwy Bldg 4b, Stony Brook, NY 11790 Phone: 631-903-1087 | |
Ryan L Clements Psy.d. Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1099 N Country Rd, Unit L, Stony Brook, NY 11790 Phone: 631-941-2210 | |
Brett M. Liquori, Licensed Psychologist, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Westwood Ave, Stony Brook, NY 11790 Phone: 631-444-5354 Fax: 631-444-5354 |