Individual
DR. MARY ANDRIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
181 N BELLE MEAD RD STE 5, EAST SETAUKET, NY 11733-3495
(631) 444-2599
(631) 444-1474
Mailing address
HSC T12-020 NEUROLOGY DEPARTMENT, STONY BROOK, NY 11794-8121
(631) 444-2599
(631) 444-1474
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
174710
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01088251
—
NY
01
—
28E512
EMPIRE BC/BS
NY
01
—
4427041
AETNA
NY
Enumeration date
06/06/2006
Last updated
10/18/2017
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