Organization
STONY BROOK GYNECOLOGY & OBSTETRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK I FUNT MD (PRESIDENT)
(631) 751-9595
Entity
Organization
Contact information
Practice address
200 MAIN ST, SETAUKET, NY 11733
(631) 751-9595
(631) 751-2322
Mailing address
45 RESEARCH WAY STE 105, EAST SETAUKET, NY 11733-6401
(631) 675-2125
(631) 675-2624
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WEP881
PTAN
NY
Enumeration date
03/02/2006
Last updated
04/26/2024
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