Individual
FARAH DACCUEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
HSC T16 020, STONY BROOK, NY 11794-8105
(631) 444-8478
(631) 444-7546
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-0650
(631) 638-4170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
285062-1
NY
Other
Enumeration date
06/11/2012
Last updated
07/21/2022
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