Organization
IRA CHERNOFF,MD PCI
Active
Organization
IRA CHERNOFF,MD PCI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA A DI BELLA-PRICE NP-CFA (NURSE PRACTITIONER/FIRST ASSIST)
(631) 246-6100
Entity
Organization
Contact information
Practice address
2500 NESCONSET HWY BLDG 20A, STONY BROOK, NY 11790-2564
(631) 246-6100
(631) 246-9464
Mailing address
2500 NESCONSET HWY BLDG 20A, STONY BROOK, NY 11790-2564
(631) 246-6100
(631) 246-9464
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
302541
NY
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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