# STONY BROOK OPHTHALMOLOGY, 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700831195
- **Authorized official:** PATRICK SIBONY M.D. (PRESIDENT)
- **Authorized official phone:** (631) 444-4092

## Contact information

- **Practice address:** SUNY @ STONY BROOK, HSC, L2, RM 152, STONY BROOK, NY 11794-0001
- **Practice address phone:** (631) 444-4092
- **Mailing address:** PO BOX 1554, STONY BROOK, NY 11790-0988
- **Mailing address phone:** (631) 444-4092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 10/29/2014