Organization
STONYBROOK UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA ADKINS (ADMIN. ASST)
(631) 444-1066
Entity
Organization
Contact information
Practice address
15 WOODLAND DR, KINGS PARK, NY 11754-3226
(631) 979-5406
Mailing address
NICHOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-3301
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
F302633-1
NY
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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