Individual provider · Type 1 NPI

Timothy Ryan Casa-Malone, MD, MPH

Student in an Organized Health Care Education/Training Program · Bay Shore, NY

NPI number 1982399952 Active

Practice location

39 Montgomery Ave, Dept Of Anesthesiology
Bay Shore, NY 11706-8004

Call (631) 894-5939 Map

Mailing address

Health Sciences Center T19-030 Stony Brook Medicine
Stony Brook, NY 11794-0001

Other practice locations

  • Health Sciences Center T19-030, Stony Brook, NY 11794-0001 · (631) 444-1791

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1982399952

Timothy Ryan Casa-Malone, MD, MPH's National Provider Identifier is 1982399952, issued on Apr 6, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bay Shore, NY. The record was last updated on Jun 20, 2024.