Organization · Type 2 NPI
Ira Chernoff,md Pci
Adult Health Nurse Practitioner · Stony Brook, NY
NPI number
1124105705
Active
Practice location
2500 Nesconset Hwy Bldg 20A
Stony Brook, NY 11790-2564
Fax (631) 246-9464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 302541 (NY) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
Other adult health nurse practitioner providers in Stony Brook
About NPI 1124105705
Ira Chernoff,md Pci's National Provider Identifier is 1124105705, issued on Nov 1, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stony Brook, NY. The record was last updated on Aug 22, 2020.