Individual
DR. MICHAEL EGNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 RESEARCH WAY, SUITE 200, EAST SETAUKET, NY 11733-3487
(631) 444-1213
(631) 444-1535
Mailing address
HSC T12 RM 080, STONY BROOK, NY 11794-8122
(631) 444-1213
(631) 444-1535
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
185484
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01247456
—
NY
01
—
4398846
AETNA
NY
01
—
89F84
EMPIRE BC.BS
NY
Enumeration date
07/03/2006
Last updated
06/11/2014
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