MEDICARE: ADINA CLAUDIA MUSTA M.D.

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
1	207RI0200X	Infectious Disease Physician	263419	NY

General Provider Information

NPI Number	:	1447453774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADINA CLAUDIA MUSTA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1554
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11790-0988
Country	:	US
Telephone Number	:	631-444-0650
Fax Number	:

Provider Business Practice Location Address
First Line	:	SBUMC HSC-T16 RM 020
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11794-3800
Country	:	US
Telephone Number	:	631-444-3490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	04/12/2021

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