Individual
DR. BRIAN GHEZELAIAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NESCONSET HWY BLDG 17C, STONY BROOK, NY 11790-2563
(631) 210-6305
(631) 292-7376
Mailing address
2500 NESCONSET HWY BLDG 17C, STONY BROOK, NY 11790-2563
(631) 210-6305
(631) 292-7376
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
312913
NY
Other
Enumeration date
04/12/2018
Last updated
02/21/2023
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