Stony Brook Internists, University Faculty Practice Corporation | |
Suny @ Stony Brook Hsc, L16, Rm 020 Stony Brook NY 11794-0001 | |
(631) 444-2448 | |
Not Available |
Full Name | Stony Brook Internists, University Faculty Practice Corporation |
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Speciality | Internal Medicine - Gastroenterology |
Location | Suny @ Stony Brook, Stony Brook, New York |
Authorized Official Name and Position | Vincent Yang (PRESIDENT) |
Authorized Official Contact | 6314442448 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stony Brook Internists, University Faculty Practice Corporation Po Box 1554 Stony Brook NY 11790-0988 Ph: (631) 444-2448 | Stony Brook Internists, University Faculty Practice Corporation Suny @ Stony Brook Hsc, L16, Rm 020 Stony Brook NY 11794-0001 Ph: (631) 444-2448 |
NPI Number | 1265471809 |
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Provider Enumeration Date | 06/06/2006 |
Last Update Date | 02/06/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265471809 | NPI | - | NPPES |
CB8937 | Other | NY | RAILROAD |
00615265 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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Stony Brook Internists, University Faculty Practice Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794 Phone: 631-444-2448 | |
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Stony Brook Internists, University Faculty Practice Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Suny @ Stony Brook, Hsc, L16, Rm 020, Stony Brook, NY 11794 Phone: 631-444-2448 |