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Dr. Charles Bazemore Mikell III, MD
Neurological Surgery Physician in Stony Brook, New York
NPI 1124254917

Charles Bazemore Mikell III is a Neurological Surgery Physician based in Stony Brook, NY. Charles Bazemore Mikell III practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Charles Bazemore Mikell III is 1124254917 and holds a License No. (New York).

The current practice location address for Charles Bazemore Mikell III is Hsc T12, Stony Brook, NY and can be reached out via phone at 631-444-1116.

Location: Hsc T12, Stony Brook, NY, 11794-8122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124254917
Provider Name
Charles Bazemore Mikell III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Hsc T12, Stony Brook, NY, 11794-8122
Phone Number
631-444-1116
Fax Number
Provider Enumeration Date
06/07/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Hsc T12
City
Stony Brook
State
New York
Zip
11794-8122
Phone Number
631-444-1116
Fax Number
person
Provider Business Mailing Address Details
Address
Hsc T12
City
Stony Brook
State
New York
Zip
11794-8122
Phone Number
631-444-1116
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
TP008 (Kentucky)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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