Stony Brook Urology, University Faculty Practice Corporation
LBN: Stony Brook Urology, University Faculty Practice Corporation
Stony Brook Urology, University Faculty Practice Corporation is an health care organization with primary practice located at 24 Research Way Suite 500, East Setauket NY 11733-3487. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Urology is the primary health care specialty.
Stony Brook Urology, University Faculty Practice Corporation can be contacted via phone (631) 444-6270, or through Waltzer, Wayne via phone (631) 444-1252.
Contact Information
Primary practice address
24 Research Way Suite 500
East Setauket NY 11733-3487
Phone: (631) 444-6270
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1538114707 |
|---|---|
| LBN Legal business name | Stony Brook Urology, University Faculty Practice Corporation |
| DBA Doing business as | |
| Authorized official | Waltzer, Wayne Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Jun 20th, 2019 - about 5 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 | 1538114707 | NPPES |
| New York | MEDICAID | 00778890 |
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