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Organization

UNIVERSITY HOSPITAL AT STONY BROOK

Active
Other names
Stony Brook University Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY E BIE (CHIEF FINANCIAL OFFICER)
(631) 444-4100
Entity
Organization

Contact information

Practice address
NICOLLS RD, STONY BROOK, NY 11794-9112
(631) 444-4100
(631) 444-4082
Mailing address
NICOLLS RD, STONY BROOK, NY 11794-9112
(631) 444-4100
(631) 444-4082

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
5151001H
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03002251
NY
Enumeration date
07/25/2006
Last updated
11/12/2012
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