Organization
STONY BROOK PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LAWRENCE-MACAFEE (ADMINISTRATOR)
(585) 335-5200
Entity
Organization
Contact information
Practice address
22 RED JACKET ST, PO 499, DANSVILLE, NY 14437-9502
(585) 335-5200
Mailing address
22 RED JACKET STREET, PO 499, DANSVILLE, NY 14437
(585) 335-5200
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
F382380-1
NY
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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