Organization
STONY BROOK OPHTHALMOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK SIBONY M.D. (PRESIDENT)
(631) 444-4092
Entity
Organization
Contact information
Practice address
SUNY @ STONY BROOK, HSC, L2, RM 152, STONY BROOK, NY 11794-0001
(631) 444-4092
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-4092
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02139646
—
NY
Enumeration date
05/23/2006
Last updated
10/29/2014
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