Organization
UNIVERSITY HOSPITAL AT STONY BROOK
Active
Organization
UNIVERSITY HOSPITAL AT STONY BROOK
Active
Other names
Stony Brook Eastern Long Island Hospital Psych Unit
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CONNOR (CAO)
(631) 477-1000
Entity
Organization
Contact information
Practice address
201 MANOR PL, GREENPORT, NY 11944-1222
(631) 477-1000
(631) 477-1746
Mailing address
201 MANOR PL, GREENPORT, NY 11944-1222
(631) 477-1000
(631) 477-1746
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000538
BLUE CROSS
—
05
—
00274337
—
NY
Enumeration date
03/22/2006
Last updated
07/30/2019
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