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STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION NPI 1215976337


NPI Information

NPI: 1215976337
Provider Name: STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
SUNY @ STONY BROOK
HSC, L16, RM 020
STONY BROOK, NY
ZIP 11794
Phone: (631) 444-2448
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STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION is a nephrology internal medicine in Stony Brook, NY. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION NPI is 1215976337. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

SUNY @ STONY BROOK
HSC, L16, RM 020
STONY BROOK, NY
ZIP 11794-001
Phone: (631) 444-2448

The provider's authorized official is Vincent Yang .
The authorized official title is Chair Person and has the following contact phone number (631) 444-2448.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 11/21/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W16131MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2CB8937OTHERNEW YORKRAILROAD
300615265MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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