# STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295778371
- **Legal business name:** STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION
- **Authorized official:** DR. VINCENT YANG M.D.,PHD (CHAIR PERSON)
- **Authorized official phone:** (631) 444-2448

## Contact information

- **Practice address:** SUNY @ STONY BROOK, HSC, L16, RM 020, STONY BROOK, NY 11794-0001
- **Practice address phone:** (631) 444-2448
- **Mailing address:** PO BOX 1554, STONY BROOK, NY 11790-0988
- **Mailing address phone:** (631) 444-2448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC3500X | Cardiac Rehabilitation Registered Nurse | — | NULL | Yes |
| 163WC3500X | Cardiac Rehabilitation Registered Nurse | — | — | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 07/28/2023