Individual
KEN-MICHAEL S BAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
STONY BROOK UNIVERSITY HOSPITAL, DEPARTMENT OF PEDIATRICS HSC T-11 / 040, STONY BROOK, NY 11794-2894
(631) 444-2020
(631) 444-2894
Mailing address
101 NICOLLS RD, HSC FLOOR 11 RM 20, STONY BROOK, NY 11794-8111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
298863
NY
2080P0202X
Pediatric Cardiology Physician
Primary
298863
NY
Other
Enumeration date
03/26/2013
Last updated
08/24/2022
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