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Dr. Benjamin Elie Fombonne, MD
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1932669439

Benjamin Elie Fombonne is a Student in an Organized Health Care Education/Training Program based in Port Jefferson, NY. Benjamin Elie Fombonne practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Benjamin Elie Fombonne is 1932669439 and holds a License No. 314533 (New York).

The current practice location address for Benjamin Elie Fombonne is 101 Nicolls Rd Rm 50, Stony Brook, NY and can be reached out via phone at 631-444-2499 and via fax at 631-444-3919.

Location: 101 Nicolls Rd Rm 50, Stony Brook, NY, 11777-1619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932669439
Provider Name
Benjamin Elie Fombonne
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 Nicolls Rd Rm 50, Stony Brook, NY, 11777-1619
Phone Number
631-444-2499
Fax Number
631-444-3919
Provider Enumeration Date
03/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd Rm 50
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2499
Fax Number
631-444-3919
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd Rm 50
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2499
Fax Number
631-444-3919
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
()
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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.
314533 (New York)
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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