Organization
STONY BROOK SURGICAL ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPORATI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK TALAMINI M.D. (CHAIR PERSON)
(631) 444-8278
Entity
Organization
Contact information
Practice address
SUNY @ STONY BROOK, HSC, L19, RM 020, STONY BROOK, NY 11794-0001
(631) 444-8278
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-8278
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00570558
—
NY
Enumeration date
05/26/2006
Last updated
12/22/2014
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