Individual
MICHAEL T IMPERATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
SUNY STONY BROOK EMERGENCY DEPT, HSC, LEVEL 4, ROOM 080, STONY BROOK, NY 11794-8350
(631) 444-2478
(631) 444-3919
Mailing address
PO BOX 826207, PHILADELPHIA, PA 19182-6207
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
171119-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01385419
—
NY
01
—
1653Q1
BCBS
NY
Enumeration date
02/24/2006
Last updated
07/08/2007
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