Stony Brook Dermatology Associates, University Faculty Practice Corpor
LBN: Stony Brook Dermatology Associates, University Faculty Practice Corpor
Stony Brook Dermatology Associates, University Faculty Practice Corpor is an health care organization with primary practice located at Suny @ Stony Brook Hsc, L16, Rm 060, Stony Brook NY 11794-0001. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Stony Brook Dermatology Associates, University Faculty Practice Corpor can be contacted via phone (631) 444-7597, or through Jones, Evan via phone (631) 444-7597.
Contact Information
Primary practice address
Suny @ Stony Brook Hsc, L16, Rm 060
Stony Brook NY 11794-0001
Phone: (631) 444-7597
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X |
Profile Details
| NPI number | 1497700819 |
|---|---|
| LBN Legal business name | Stony Brook Dermatology Associates, University Faculty Practice Corpor |
| DBA Doing business as | |
| Authorized official | Jones, Evan Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Jan 22nd, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497700819 | NPPES |
| New York | MEDICAID | 01193984 |
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