STONY BROOK PEDIATRICS NPI 1952842635

NPI Information

  • NPI: 1952842635
  • Provider Name: STONY BROOK PEDIATRICS
  • Classification: Nurse Practitioner - 363LP0222X
  • Specialization: Pediatrics, Critical Care
  • Entity Type: Organization
  • CLIA Number: 33D0171775
  • Address: 22 RED JACKET ST
    PO 499
    DANSVILLE, NY
    ZIP 14437
  • Phone: (585) 335-5200

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NPI Details

STONY BROOK PEDIATRICS is a pediatrics and critical care nurse practitioner in Dansville, NY. STONY BROOK PEDIATRICS NPI is 1952842635. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22 RED JACKET ST
PO 499
DANSVILLE, NY
ZIP 14437-502
Phone: (585) 335-5200

The provider's authorized official is Michelle Lawrence-macafee .
The authorized official title is Administrator and has the following contact phone number (585) 335-5200.

The CLIA number assigned to this NPI record is 33D0171775 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/15/2017 and was last updated on 3/15/2017.

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
1363LP0222XNurse PractitionerPediatrics, Critical CareF382380-1NEW YORKYes

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: 11/21/2025

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