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Contact Information

STONY BROOK RADIATION ONCOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATIO
SUNY @ STONY BROOK
HSC, L2, RM 643
STONY BROOK, NY11797
 Phone: 631-444-2206
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for STONY BROOK RADIATION ONCOLOGY UNIVERSITY FACULTY PRACTICE CORPORATIO · (Female)

NPI # 1730126517
Status Active
Credentials
Entity Individual
Enumeration date 06/01/2006
Last updated 12/22/2014 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 00822642
Hospital affiliation(s) Not Available
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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