Individual
HSIU P SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
STONY BROOK UNIVERSITY HOSPITAL, DEPT OF RADIOLOGY, STONY BROOK, NY 11794-8460
(631) 444-2484
(631) 444-7538
Mailing address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-1550
(562) 933-8088
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
251620
NY
2085R0202X
Diagnostic Radiology Physician
25MA08725400
NJ
2085R0202X
Diagnostic Radiology Physician
71794
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
C196499
CA
2085R0202X
Diagnostic Radiology Physician
E-17480
AR
2085R0202X
Diagnostic Radiology Physician
MD-24090
HI
Other
Enumeration date
04/11/2008
Last updated
03/10/2026
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