Individual
SAMITA MOHANASUNDARAM HESLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-3880
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-3880
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
307935
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2018
Last updated
07/21/2021
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