# UFPC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538616677
- **Authorized official:** DR. MARK TALAMINI (CHAIRMAN OF DEPARTMENT OF SURGERY)
- **Authorized official phone:** (631) 444-7875

## Contact information

- **Practice address:** 23 S HOWELL AVE, STONY BROOK MEDICINE - VASCULAR SURGERY, CENTEREACH, NY 11720-4445
- **Practice address phone:** (631) 638-1670
- **Mailing address:** PO BOX 1554, STONY BROOK, NY 11790-0988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2016
- **Last updated:** 09/07/2016