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Stony Brook University Medical Center
Student in an Organized Health Care Education/Training Program in Coram, New York
NPI 1487850251

Stony Brook University Medical Center is a Student in an Organized Health Care Education/Training Program based in Coram, NY. Stony Brook University Medical Center practices in Coram, NY. The NPI Number for Stony Brook University Medical Center is 1487850251 and holds a License No. (New York).

The current practice location address for Stony Brook University Medical Center is 2428 Avalon Pines Dr, Coram, NY and can be reached out via phone at 917-699-3460.

Location: 2428 Avalon Pines Dr, Coram, NY, 11727-5169
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487850251
Provider Name
Stony Brook University Medical Center
Credential
Provider Entity Type
Organization
Address
2428 Avalon Pines Dr, Coram, NY, 11727-5169
Phone Number
917-699-3460
Fax Number
Provider Enumeration Date
06/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2428 Avalon Pines Dr
City
Coram
State
New York
Zip
11727-5169
Phone Number
917-699-3460
Fax Number
person
Provider Business Mailing Address Details
Address
2428 Avalon Pines Dr
City
Coram
State
New York
Zip
11727-5169
Phone Number
917-699-3460
Fax Number
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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