Individual
DR. VINAY MANOHAR TAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FRCS(ED), FACS
Contact information
Practice address
STONY BROOK HOSPITAL, 100 NICHOLS ROAD, STONY BROOK, NY 11794-8191
(631) 444-2034
(631) 444-8947
Mailing address
STONY BROOK HOSPITAL, 100 NICHOLS ROAD, STONY BROOK, NY 11794-8191
(631) 444-2034
(631) 444-8947
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
155057
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2380341
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02770258
—
NY
Enumeration date
01/20/2006
Last updated
05/07/2019
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