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Individual

DR. ROBERT PEYSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 NICOLLS ROAD, HSC L4 SUITE 120, STONY BROOK, NY 11794
(631) 444-6919
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-6919

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
193678
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01441950
NY
01
02H06
EMPIRE BC.BS
NY
01
4202050
AETNA
NY
Enumeration date
06/26/2006
Last updated
04/29/2022
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