Individual
DR. STUART FOURMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 RESEARCH WAY, EAST SETAUKET, NY 11733-3489
(631) 444-4090
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-4090
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
178196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01156436
—
NY
01
—
19F862
EMPIRE BC.BS
NY
01
—
4608341
AETNA
NY
Enumeration date
06/12/2006
Last updated
07/08/2007
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