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Contact Information

SEAN R CAMPBELL
622 WEST 168TH STREET PH-1
NEW YORK, NY10032-3725
 Phone: 212-342-5155
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SEAN R CAMPBELL · (Male)

NPI Number 1831332329
Status Active
Credentials
Entity Individual
Enumeration date 04/13/2009
Last updated 06/17/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 274534
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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