STONYBROOK SURIGCAL ASSOICATES NPI 1386775385

NPI Information

NPI: 1386775385
Provider Name: STONYBROOK SURIGCAL ASSOICATES
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 33D2017797

Address:
8 PELLERGRINO ROAD
STONYBROOK, NY
ZIP 11790
Phone: (631) 638-0928
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STONYBROOK SURIGCAL ASSOICATES is an ambulatory surgical clinic center in Stonybrook, NY. STONYBROOK SURIGCAL ASSOICATES NPI is 1386775385. The provider is registered as an organization entity type.

The provider's business location address is:

8 PELLERGRINO ROAD
STONYBROOK, NY
ZIP 11790-444
Phone: (631) 638-0928
Fax: (631) 638-0644

The provider's authorized official is Martin Karpeth .
The authorized official title is Ceo and has the following contact phone number (631) 444-4545.

The CLIA number assigned to this NPI record is 33D2017797 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 7/21/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical		NEW YORK	Yes

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: 4/28/2024

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