Packy, Theodore F

Packy, Theodore F is an individual health care provider with primary practice located at University Hospital, L4 , Stony Brook NY 11794-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Packy, Theodore F can be contacted via phone (631) 444-2499.

Contact Information

Primary practice address
University Hospital, L4 Stony Brook NY 11794-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 161826 New York

Profile Details

NPI number 1699710962
LBN Legal business name Packy, Theodore F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jul 8th, 2007 - about 17 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 1699710962 NPPES
New York Other 4260016 AETNA
New York MEDICAID 00971875 AETNA
New York Other 62F061 AETNA

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