Individual
DR. ALLISON J MCLARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UNIVERSITY HOSPITAL, L5, STONY BROOK, NY 11794
(631) 444-2565
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
195637
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01753722
—
NY
01
—
5493513
AETNA
NY
01
—
92F711
EMPIRE BC.BS
NY
Enumeration date
07/18/2006
Last updated
07/08/2007
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