Individual
DR. AVRAHAM BLUESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Contact information
Practice address
STONY BROOK RADIOLOGY, HSC L4, ROOM 120, STONY BROOK, NY 11794-8460
(631) 444-5400
(631) 444-7538
Mailing address
STONY BROOK RADIOLOGY, HSC L4, ROOM 120, STONY BROOK, NY 11794-8460
(631) 444-5400
(631) 444-7538
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
256825
NY
2085R0202X
Diagnostic Radiology Physician
256825
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12249898
—
NY
Enumeration date
07/31/2008
Last updated
04/20/2022
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