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Contact Information

AMRUTA G DESAI, DO, MPH, MBA
101 NICOLLS RD
STONY BROOK, NY11794-0001
 Phone: 631-444-2975
 Fax: 631-444-2907
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for AMRUTA G DESAI · (Female)

NPI # 1043697550
Status Active
Credentials DO, MPH, MBA
Entity Individual
Enumeration date 05/04/2015
Last updated 12/21/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 30728801
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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