Organization
SUNY STONY BROOK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE CARLSON (NURSE MANAGER)
(631) 444-8073
Entity
Organization
Contact information
Practice address
HSC LEVEL 12 ROOM 080, STONY BROOK, NY 11794-8122
(631) 444-1289
Mailing address
HSC LEVEL 12 ROOM 080, STONY BROOK, NY 11794-8122
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
430131
NY
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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