Healthcare Provider Details

I. General information

NPI: 1417907718
Provider Name (Legal Business Name): SOUND ENDOCRINOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 04/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 NESCONSET HWY BLDG. 3C
STONY BROOK NY
11790-2555
US

IV. Provider business mailing address

2500 NESCONSET HWY BLDG. 3C
STONY BROOK NY
11790-2555
US

V. Phone/Fax

Practice location:
  • Phone: 631-751-2400
  • Fax: 631-751-8323
Mailing address:
  • Phone: 631-751-2400
  • Fax: 631-751-8323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number168797
License Number StateNY

VIII. Authorized Official

Name: HOWARD BRAND
Title or Position: DR.
Credential:
Phone: 631-751-2400