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NPI Code Detail

MEDICARE: STATE OF NEW YORK COMPTROLLERS OFFICE

MEDICARE: STATE OF NEW YORK COMPTROLLERS OFFICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility5151310NNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184621724
Entity Type Code : Organization
Provider Name (Legal Business Name) : STATE OF NEW YORK COMPTROLLERS OFFICE
Provider Business Mailing Address
First Line : 100 PATRIOTS RD
Second Line :
City : STONY BROOK
State : NY
Zip : 11790-3318
Country : US
Telephone Number : 631-444-8500
Fax Number : 631-444-8575
Provider Business Practice Location Address
First Line : 100 PATRIOTS RD
Second Line :
City : STONY BROOK
State : NY
Zip : 11790-3318
Country : US
Telephone Number : 631-444-8500
Fax Number : 631-444-8575
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. FRED SGANGA
Credential :
Telephone Number : 631-444-8500
Provider Enumeration Date : 06/28/2005
Last Update Date : 04/06/2012

Similar Medicare Providers

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Practice Location Address:
100 PATRIOTS RD
STONY BROOK, NY
11790-3318
Practice Phone: 631-444-8646
Practice Fax:
1194750505 — DR. FRANK CERVO M.D.
Practice Location Address:
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1952411936 — MARYANNE R FARINA PA
Practice Location Address:
100 PATRIOTS RD
STONY BROOK, NY
11790-3318
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1326123886 — DR. CARLOS FERMO JR. MD
Practice Location Address:
100 PATRIOTS RD
STONY BROOK, NY
11790-3318
Practice Phone: 631-444-8608
Practice Fax:
1730264441 — DR. MOHAMMED JAHANGIR ALAM M.D.
Practice Location Address:
100 PATRIOTS RD
STONY BROOK, NY
11790-3318
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Practice Fax: 631-444-8778
1891853438 — MS. REBECCA M LEONG RPH
Practice Location Address:
100 PATRIOTS RD
STONY BROOK, NY
11790-3318
Practice Phone: 631-444-8786
Practice Fax: 631-444-8787

Directions to “STATE OF NEW YORK COMPTROLLERS OFFICE ” Practice Location

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