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Organization
STATE OF NEW YORK COMPTROLLERS OFFICE
Active
Organization
STATE OF NEW YORK COMPTROLLERS OFFICE
Active
Parent organization
STATE OF NEW YORK COMPTROLLERS OFFICE
Other names
SUNY Stony Brook School of Dental Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEW YORK COMPTROLLERS OFFICE
Authorized official
CAROL SLOANE (ASST. DEAN CLINIC OPERATIONS)
(631) 632-8966
Entity
Organization
Contact information
Practice address
184D NICHOLS ROAD SULLIVAN HALL, STONY BROOK, NY 11794
(631) 632-8966
(631) 632-9302
Mailing address
184D NICHOLS ROAD SULLIVAN HALL, STONY BROOK, NY 11794-0001
(631) 632-8966
(631) 632-9302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
377821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00475076
—
NY
Enumeration date
11/13/2006
Last updated
08/03/2018
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