Organization
STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION
Active
Parent organization
STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION
Authorized official
DR. VINCENT YANG M.D.,PHD (CHAIR PERSON)
(631) 444-2448
Entity
Organization
Contact information
Practice address
SUNY @ STONY BROOK, HSC, L16, RM 020, STONY BROOK, NY 11794-0001
(631) 444-2448
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-2448
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00615265
—
NY
01
—
CB8937
RAILROAD
NY
Enumeration date
06/14/2006
Last updated
07/28/2023
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