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 |
Location | Suny @ Stony Brook, Stony Brook, New York |
Authorized Official Name and Position | Vincent Yang (CHAIR PERSON) |
Authorized Official Contact | 6314442448 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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 | 1356380471 |
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Provider Enumeration Date | 06/05/2006 |
Last Update Date | 11/21/2013 |
Medicare PECOS PAC ID | 9133019821 |
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Medicare Enrollment ID | O20040524000844 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356380471 | NPI | - | NPPES |
CB8937 | Other | NY | RAILROAD |
00615265 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Michelle C Jardine |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1497740781 PECOS PAC ID: 5294798328 Enrollment ID: I20041109000988 |
Provider Name | Rowyna Bohlen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861558504 PECOS PAC ID: 9436104452 Enrollment ID: I20050314000054 |
Provider Name | Deepak S Desai |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1952391997 PECOS PAC ID: 1355353467 Enrollment ID: I20060607000234 |
Provider Name | Marina Charitou |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1518053248 PECOS PAC ID: 3072610658 Enrollment ID: I20070515000575 |
Provider Name | James R Hess |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1124092747 PECOS PAC ID: 5193750222 Enrollment ID: I20070629000517 |
Provider Name | Jonathan M Buscaglia |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1124078589 PECOS PAC ID: 2163446840 Enrollment ID: I20080516000050 |
Provider Name | Igor Kravets |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1376729947 PECOS PAC ID: 7113990219 Enrollment ID: I20080717000380 |
Provider Name | Asim S Khokhar |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1376655043 PECOS PAC ID: 1355245143 Enrollment ID: I20080929000710 |
Provider Name | Peter L Shue |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1851578991 PECOS PAC ID: 0244386779 Enrollment ID: I20090924000071 |
Provider Name | Marie C Gelato |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1730114570 PECOS PAC ID: 3173666054 Enrollment ID: I20100201000057 |
Provider Name | Harold E Carlson |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1194750034 PECOS PAC ID: 1254474141 Enrollment ID: I20100201000184 |
Provider Name | Anoop Kapoor |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1447285168 PECOS PAC ID: 6406983014 Enrollment ID: I20100429000702 |
Provider Name | Lionel Dsouza |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1679733182 PECOS PAC ID: 3476741943 Enrollment ID: I20101228000312 |
Provider Name | Olga C Aroniadis |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1942508262 PECOS PAC ID: 7315115490 Enrollment ID: I20110715000008 |
Provider Name | Vincent W Yang |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1588676373 PECOS PAC ID: 8820113624 Enrollment ID: I20110927000148 |
Provider Name | Carolyn E Maxwell |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1780846808 PECOS PAC ID: 5395988430 Enrollment ID: I20130821000520 |
Provider Name | Joshua D Miller |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1346400637 PECOS PAC ID: 1850528043 Enrollment ID: I20131213001494 |
Provider Name | Jennifer M Mulvey Fitzgerald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023261849 PECOS PAC ID: 2769611284 Enrollment ID: I20140204000118 |
Provider Name | Deirdre C Eschler |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1073773297 PECOS PAC ID: 5496078305 Enrollment ID: I20141230000742 |
Provider Name | Farah Monzur |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1447575667 PECOS PAC ID: 1951696715 Enrollment ID: I20160818001939 |
Provider Name | Alexandra Guillaume |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1396981197 PECOS PAC ID: 8426343591 Enrollment ID: I20160829001432 |
Provider Name | Brian F Schrage Ii |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346797073 PECOS PAC ID: 3375822117 Enrollment ID: I20161117002324 |
Provider Name | Lauren E Tjimos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770032575 PECOS PAC ID: 6507148889 Enrollment ID: I20170120002393 |
Provider Name | Silvana Obici |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1487730438 PECOS PAC ID: 1658372685 Enrollment ID: I20170905000634 |
Provider Name | Danielle J Kelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144745258 PECOS PAC ID: 6507122553 Enrollment ID: I20171108001921 |
Provider Name | Michael J Clores |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1598024390 PECOS PAC ID: 1153686217 Enrollment ID: I20180521002229 |
Provider Name | Anita N Biswas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316312911 PECOS PAC ID: 4183920325 Enrollment ID: I20180921000485 |
Provider Name | Sarah A Raziano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699298588 PECOS PAC ID: 2567715709 Enrollment ID: I20181105002533 |
Provider Name | Alma M Devine |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1447487681 PECOS PAC ID: 2567611064 Enrollment ID: I20181218003111 |
Provider Name | Jaclyn C Abrahall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972036333 PECOS PAC ID: 7012255896 Enrollment ID: I20190221000904 |
Provider Name | Alan Chang |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1649408675 PECOS PAC ID: 5395965917 Enrollment ID: I20191204000663 |
Provider Name | Eva Asamoah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831734136 PECOS PAC ID: 7113348475 Enrollment ID: I20200522001523 |
Provider Name | Daniel G Jamorabo |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1912325044 PECOS PAC ID: 8820214059 Enrollment ID: I20200721003452 |
Provider Name | Mohammad I Khan |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1659791663 PECOS PAC ID: 7214264985 Enrollment ID: I20200806001193 |
Provider Name | Christie E Wanderer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972182566 PECOS PAC ID: 4880093681 Enrollment ID: I20210527002313 |
Provider Name | Meera Priya Bhardwaj |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1316331614 PECOS PAC ID: 4183962723 Enrollment ID: I20210727001016 |
Provider Name | Josefina Vergel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235836750 PECOS PAC ID: 5698149409 Enrollment ID: I20230317001993 |
Provider Name | Umer E Malik |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1336589274 PECOS PAC ID: 3173813581 Enrollment ID: I20230605001225 |
Provider Name | Jessica A Pizzuti |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1063944221 PECOS PAC ID: 4284978750 Enrollment ID: I20230815000530 |
Provider Name | Zulekha I Karim |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1861812844 PECOS PAC ID: 0345674347 Enrollment ID: I20240411000645 |
Provider Name | Serpil Ates |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710745773 PECOS PAC ID: 3870935489 Enrollment ID: I20240529000592 |
Provider Name | Alexandra M Carnival |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992410781 PECOS PAC ID: 8022551308 Enrollment ID: I20240614000968 |
Stonybrook University Student Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Stadium Rd, Stony Brook, NY 11794 Phone: 631-632-6740 Fax: 631-632-6936 | |
Bassam Hossain Do Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8 Mosshill Pl, Stony Brook, NY 11790 Phone: 516-838-9955 | |
Suny At Stony Brook University Infirmary Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Stadium Rd, Stony Brook, NY 11794 Phone: 631-632-6804 Fax: 631-632-6936 | |
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 | |
Sound Endocrinology Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Nesconset Hwy, Bldg. 3c, Stony Brook, NY 11790 Phone: 631-751-2400 Fax: 631-751-8323 | |
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 |