Organization
STONY BROOK RADIOLOGIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN COLBERT (CFO)
(631) 231-0300
Entity
Organization
Contact information
Practice address
2500 NESCONSET HWY, SUITE 15A, STONY BROOK, NY 11790-2555
(631) 751-2900
(631) 751-2051
Mailing address
2500 NESCONSET HWY, SUITE 15A, STONY BROOK, NY 11790-2555
(631) 751-2900
(631) 751-2051
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02284260
—
NY
Enumeration date
05/23/2006
Last updated
11/02/2007
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