Organization · Type 2 NPI
State of New York Comptrollers Office
Clinic/Center · Stony Brook, NY
NPI number
1073633269
Active
Practice location
1 Stadium Rd
Stony Brook, NY 11794-3191
Fax (631) 632-6936
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 014702 (NY) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3 other providers at this address
Other clinic/center providers in Stony Brook
About NPI 1073633269
State of New York Comptrollers Office's National Provider Identifier is 1073633269, issued on Mar 30, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Stony Brook, NY. The record was last updated on Apr 9, 2024.