Individual
MR. SCOTT MATTHEW HERFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
24 RESEARCH WAY, SUITE 500, SETAUKET, NY 11733-3487
(631) 444-6270
Mailing address
STONY BROOK UNIVERSITY MEDICAL CTR, DEPARTMENT OF UROLOGY, T-9, ROOM 040, STONY BROOK, NY 11794-8093
(631) 444-1916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
008270
NY
363AS0400X
Surgical Physician Assistant
Primary
008270
NY
Other
Enumeration date
07/10/2006
Last updated
02/07/2012
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