Mair, Evan Robert

Mair, Evan Robert is an individual health care provider with primary practice located at Stony Brook Radiology Ufpc Hsc Level 4, Room 120, Stony Brook NY 11794-8460. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mair, Evan Robert can be contacted via phone (631) 444-5400.

Contact Information

Primary practice address
Stony Brook Radiology Ufpc Hsc Level 4, Room 120 Stony Brook NY 11794-8460
Phone: (631) 444-5400
Fax: (631) 444-7538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 231332 New York

Profile Details

NPI number 1518950021
LBN Legal business name Mair, Evan Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Oct 23rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518950021 NPPES
New York MEDICAID 02675607

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