Organization
STONY BROOK MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA MARIE HENDERSHOT CRNA (CERTIFIED REGISTERED NURSE ANESTHET)
(631) 444-2444
Entity
Organization
Contact information
Practice address
STONY BROOK MEDICAL CENTER, NICHOLLS RD, STONY BROOK, NY 11794
(631) 444-2444
Mailing address
464 NICHOLS RD, HAUPPAUGE, NY 11788-5013
(631) 979-9436
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
501428-1
NY
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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