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Organization
UNIVERSITY HOSPITAL AT STONY BROOK
Active
Organization
UNIVERSITY HOSPITAL AT STONY BROOK
Active
Parent organization
UNIVERSITY HOSPITAL AT STONY BROOK
Other names
Stony Brook Southampton Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY HOSPITAL AT STONY BROOK
Authorized official
MR. CHRISTOPHER J. SCHULTHEIS (CFO/VP OF FINANCE)
(631) 726-8300
Entity
Organization
Contact information
Practice address
240 MEETING HOUSE LANE, SOUTHAMPTON, NY 11968
(631) 726-8200
(631) 726-8886
Mailing address
240 MEETING HOUSE LANE, SOUTHAMPTON, NY 11968
(631) 726-8200
(631) 726-8886
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
5126000H
NY
282N00000X
General Acute Care Hospital
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000105
BLUE CROSS
—
05
—
00274406
—
NY
01
—
AZ00007
MDNY
—
01
—
C011
VYTRA
—
01
—
HO4447
OXFORD
—
Enumeration date
08/20/2006
Last updated
02/07/2018
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