Stony Brook Preventive Medicine Services, Univ Fclty Practice Corp

NPI 1164478749 - Preventive Medicine - 2083P0500X

NPI Details
NPI 1164478749
Enumeration Date 05/26/2006
Last Updated 02/06/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name IRIS A IRIS
Position PRESIDENT
Phone (631) 444-2189
Fax
Practice Location
SUNY @ STONY BROOK
HSC, L3, RM 086
STONY BROOK NY, 11794-0001, US
Phone (631) 444-2189
Fax
Business Location
PO BOX 1554
STONY BROOK NY, 11790-0988, US
Phone (631) 444-2189
Fax
Toxanomy
Taxonomy Code 2083P0500X
License State
License Number
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According to our database, Stony Brook Preventive Medicine Services, Univ Fclty Practice Corp NPI is 1164478749, taxonomy code is 2083P0500X Stony Brook Preventive Medicine Services, Univ Fclty Practice Corp physically located at Suny @ Stony Brook, Stony Brook NY, 11794-0001. NPI Number 1033115704 has the healthcare provider type.

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1164478749 NPI number is provided on an as is basis without warranty of any kind. 1164478749 is maintained by the National Plan & Provider Enumeration System. The contents of Stony Brook Preventive Medicine Services, Univ Fclty Practice Corp are for informational purposes only.