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Organization
UNIVERSITY HOSPITAL AT STONY BROOK
Active
Organization
UNIVERSITY HOSPITAL AT STONY BROOK
Active
Other names
Stony Brook Eastern Long Island Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CONNOR (CAO)
(631) 477-1000
Entity
Organization
Contact information
Practice address
201 MANOR PL, GREENPORT, NY 11944-1222
(631) 477-1000
(631) 477-1746
Mailing address
201 MANOR PL, GREENPORT, NY 11944-1222
(631) 477-1000
(631) 477-1746
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000538
BLUE CROSS
—
05
—
00274337
—
NY
Enumeration date
06/27/2005
Last updated
07/16/2019
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