Individual
AMANDA B SOSULSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T9, STONY BROOK, NY 11794-0001
(631) 444-2754
(631) 444-6031
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794
(631) 444-2754
(631) 444-6031
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
292805
NY
2086S0102X
Surgical Critical Care Physician
292805
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2009
Last updated
04/13/2022
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