Individual
DR. SIMRAN BUTTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-5002
(631) 444-2499
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2499
(215) 955-2526
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
284045
NY
207P00000X
Emergency Medicine Physician
MD457600
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2013
Last updated
03/23/2023
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