Individual
CATHERINE L URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 NICOLLS RD # LEVEL11N, STONY BROOK, NY 11794-1334
(631) 444-2648
(631) 444-2894
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-2648
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
298811
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2013
Last updated
06/18/2019
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