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Carl Tack, MD
Diagnostic Radiology Physician in Stony Brook, New York
NPI 1023189529

Carl Tack is a Diagnostic Radiology Physician based in Stony Brook, NY and is specialized in Diagnostic Radiology. Carl Tack practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Carl Tack is 1023189529 and holds a License No. 157604 (New York).

The current practice location address for Carl Tack is Hsc L4 Rm 120, Stony Brook, NY and can be reached out via phone at 631-444-5400 and via fax at 631-444-7538.

Location: Hsc L4 Rm 120, Stony Brook, NY, 11794-8460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023189529
Provider Name
Carl Tack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Hsc L4 Rm 120, Stony Brook, NY, 11794-8460
Phone Number
631-444-5400
Fax Number
631-444-7538
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01225323 05 NY
200093473 05 MO
institution
Provider Business Practice Location Address Details
Address
Hsc L4 Rm 120
City
Stony Brook
State
New York
Zip
11794-8460
Phone Number
631-444-5400
Fax Number
631-444-7538
person
Provider Business Mailing Address Details
Address
Hsc L4 Rm 120
City
Stony Brook
State
New York
Zip
11794-8460
Phone Number
631-444-5400
Fax Number
631-444-7538
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
157604 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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