Individual
CAITLIN ELIZABETH KEANE-BISCONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
STONY BROOK MEDICINE, HSC T-11, ROOM 040 DEPARTMENT OF PEDIATRICS, STONY BROOK, NY 11794-8111
(631) 444-2020
(631) 444-2894
Mailing address
STONY BROOK MEDICINE, HSC T-11, ROOM 040 DEPARTMENT OF PEDIATRICS, STONY BROOK, NY 11794-8111
(631) 444-2020
(631) 444-2894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
298823
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2016
Last updated
08/27/2019
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