| Stony Brook Community Medical, P.c. | |
|
220 N Belle Mead Rd East Setauket NY 11733-3523 | |
| (631) 638-4018 | |
| (631) 638-4065 |
| Full Name | Stony Brook Community Medical, P.c. |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 220 N Belle Mead Rd, East Setauket, New York |
| Authorized Official Name and Position | Todd R Griffin (PRESIDENT/CEO) |
| Authorized Official Contact | 6316384018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stony Brook Community Medical, P.c. 45 Research Way Suite 204 East Setauket NY 11733-6401 Ph: (631) 638-4018 | Stony Brook Community Medical, P.c. 220 N Belle Mead Rd East Setauket NY 11733-3523 Ph: (631) 638-4018 |
| NPI Number | 1972812220 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 10/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972812220 | NPI | - | NPPES |
| 03319757 | Medicaid | NY |
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