Individual
TERESA STABLES-CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, PNP
Contact information
Practice address
STONY BROOK UNIVERSITY MEDICAL CTR, HSC-T-11-080, DEPT. PEDIATRICS, STONY BROOK, NY 11794-0001
(631) 444-8340
(631) 444-6045
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-8340
(631) 444-6045
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380427
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03764087
—
NY
Enumeration date
09/30/2008
Last updated
08/04/2015
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