Individual
BRITTNI ANN MUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
STONY BROOK UNIVERSITY HOSPITAL, DEPARTMENT OF SURGERY/STONY BROOK MEDICINE HSC19-020, STONY BROOK, NY 11794-8191
(631) 444-8085
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-8085
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
018835
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164893806
—
NY
Enumeration date
10/07/2015
Last updated
02/01/2021
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