Organization
UNIVERSITY HOSPITAL AT STONY BROOK
Active
Other names
Stony Brook Eastern Long Island Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CONNOR (CAO)
(631) 477-1000
Entity
Organization
Contact information
Practice address
201 MANOR PL, GREENPORT, NY 11944-1222
(631) 477-1000
(631) 477-1746
Mailing address
201 MANOR PL, GREENPORT, NY 11944-1222
(631) 477-1000
(631) 477-1746
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000538
BLUE CROSS
—
05
—
00274337
—
NY
Enumeration date
06/27/2005
Last updated
07/16/2019
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