Organization
STONY BROOK RADIOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELAINE S GOULD M.D. (CHAIR PERSON)
(631) 444-3452
Entity
Organization
Contact information
Practice address
SUNY AT STONY BRK, HSC, L4, RM 120, STONY BROOK, NY 11794-8460
(631) 444-3452
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-3452
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00549133
—
NY
Enumeration date
05/24/2006
Last updated
07/06/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us