Individual
DR. ILANA HARWAYNE-GIDANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 NICOLLS RD, PICU, LEVEL 11, STONY BROOK, NY 11794-8111
(631) 444-2725
(631) 444-2894
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
259724
NY
Other
Enumeration date
03/23/2009
Last updated
05/14/2015
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