Organization
STONY BROOK RADIATION ONCOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL RYU M.D. (CHAIR PERSON)
(631) 444-2206
Entity
Organization
Contact information
Practice address
SUNY @ STONY BROOK, HSC, L2, RM 643, STONY BROOK, NY 11797
(631) 444-2206
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-2206
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00822642
—
NY
Enumeration date
06/01/2006
Last updated
12/22/2014
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