Organization
STONY BROOK EMERGENCY PHYSICIANS, UNIVERSITY FACULTY PRACTICE CORPORAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK HENRY M.D. (CHAIR PERSON)
(631) 444-2406
Entity
Organization
Contact information
Practice address
SUNY @ STONY BROOK, UNIVERSITY HOSPITAL, L4, RM 515, STONY BROOK, NY 11794-0001
(631) 444-2406
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-2406
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01278739
—
NY
Enumeration date
05/24/2006
Last updated
10/03/2013
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