Individual
KATHLEEN V DHUNDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
UNIVERSITY HOSPITAL, STONY BROOK, NY 11794-0001
(631) 444-1095
(631) 444-8963
Mailing address
39 ERLAND RD, STONY BROOK, NY 11790-1124
(631) 689-9012
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300699
NY
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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