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MICHAEL LOUIS ERNST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 NICHOLLS RD, HSC-9 040, STONY BROOK, NY 11795
(631) 444-1176
Mailing address
101 NICHOLLS RD, HSC-9 040, STONY BROOK, NY 11795
(631) 444-1176

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
30.138575
OH
2088P0231X
Pediatric Urology Physician
Primary
316666
NY
2088P0231X
Pediatric Urology Physician
35.138575
OH

Other

Enumeration date
04/06/2015
Last updated
10/07/2022
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