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Dr. Ian Blaikie Mathies, MD
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1477256758

Ian Blaikie Mathies is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Ian Blaikie Mathies practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Ian Blaikie Mathies is 1477256758 and holds a License No. (New York).

The current practice location address for Ian Blaikie Mathies is 101 Nicolls Road, Stony Brook, NY and can be reached out via phone at 631-444-3880 and via fax at 631-444-3919.

Location: 101 Nicolls Road, Stony Brook, NY, 11794-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477256758
Provider Name
Ian Blaikie Mathies
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 Nicolls Road, Stony Brook, NY, 11794-0001
Phone Number
631-444-3880
Fax Number
631-444-3919
Provider Enumeration Date
03/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Road
City
Stony Brook
State
New York
Zip
11794
Phone Number
631-444-3880
Fax Number
631-444-3919
person
Provider Business Mailing Address Details
Address
101 Nicolls Road
City
Stony Brook
State
New York
Zip
11794
Phone Number
631-444-3880
Fax Number
631-444-3919
person
Provider's Taxonomy Details 1
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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