STONY BROOK RADIOLOGIC SERVICES PC NPI 1295780112

NPI Information

STONY BROOK RADIOLOGIC SERVICES PC is a diagnostic radiology radiology in Stony Brook, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. STONY BROOK RADIOLOGIC SERVICES PC NPI is 1295780112. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 NESCONSET HWY
SUITE 15A
STONY BROOK, NY
ZIP 11790-555
Phone: (631) 751-2900
Fax: (631) 751-2051

The provider's authorized official is John Colbert .
The authorized official title is Cfo and has the following contact phone number (631) 231-0300.

The CLIA number assigned to this NPI record is 33D2293545 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 11/2/2007.

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:

Other Identifiers

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