NEW YORK SPINE AND BRAIN SURGERY NPI 1538392410

NPI Information

NPI: 1538392410
Provider Name: NEW YORK SPINE AND BRAIN SURGERY
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
HSC T12 RM 080
STONY BROOK, NY
ZIP 11794
Phone: (631) 444-8070
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NEW YORK SPINE AND BRAIN SURGERY is an adult health nurse practitioner in Stony Brook, NY. NEW YORK SPINE AND BRAIN SURGERY NPI is 1538392410. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

HSC T12 RM 080
STONY BROOK, NY
ZIP 11794-122
Phone: (631) 444-8070
Fax: (631) 444-1535

The provider's authorized official is Raphael Davis .
The authorized official title is Chairman and has the following contact phone number (631) 444-8070.

The enumeration date for this NPI number is 8/26/2009 and was last updated on 11/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	305171	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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