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Organization

STONY BROOK ORTHOPAEDIC ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE HURST M.D. (CHAIR PERSON)
(631) 444-1478
Entity
Organization

Contact information

Practice address
SUNY @ STONY BROOK, HSC, L18, RM 080, STONY BROOK, NY 11794-0001
(631) 444-1478
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-1478

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00693783
NY
Enumeration date
05/26/2006
Last updated
12/11/2014
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