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General NPI Number Information
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NPI Number | 1649294026
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HOSPITAL AT STONY BROOK
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 11/12/2012
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Provider Practice Location Address
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Address Line | NICOLLS RD
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City | STONY BROOK
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State | NY
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Zip | 11794-9112
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Country | US
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Telephone | 631-444-4100
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Fax | 631-444-4082
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Provider Business Mailing Address
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Address Line | NICOLLS RD
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City | STONY BROOK
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State | NY
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Zip | 11794-9112
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Country | US
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Telephone | 631-444-4100
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Fax | 631-444-4082
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. GARY E BIE
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Credential |
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Telephone | 631-444-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 5151001H
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License Number State | NY
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