Organization
UNIVERSITY HOSPITAL AT STONY BROOK
Active
Parent organization
UNIVERSITY HOSPITAL AT STONY BROOK
Other names
Stony Brook Southampton Hospital Regional Dialysis Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY HOSPITAL AT STONY BROOK
Authorized official
MR. CALOGERO GRESALFI (DIRECTOR)
(631) 723-4213
Entity
Organization
Contact information
Practice address
184 W MONTAUK HWY, HAMPTON BAYS, NY 11946-2304
(631) 723-4200
Mailing address
184 W MONTAUK HWY, HAMPTON BAYS, NY 11946-2304
(631) 723-4200
Taxonomy
Speciality
Code
Description
License number
State
163WD1100X
Peritoneal Dialysis Registered Nurse
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
02/01/2018
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