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Contact Information

LUIS A MARCOS RAYMUNDO, MD
HSC T15 080
STONY BROOK, NY11794-8153
 Phone: 631-444-3490
 Fax: 631-638-7518
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LUIS A MARCOS RAYMUNDO · (Male)

NPI Number 1205161015
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2009
Last updated 07/05/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 21387
  • MS Medicaid 06575513
  • Other 3310476 UHC
  • MS Other 9576702 AETNA
  • MS Other 06575513 MAGNOLIA
  • MS Other 302I449980 MEDICARE PTAN
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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