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General NPI Number Information
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NPI Number | 1720491475
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Entity Type | Organization
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Legal Business Name | STONYBROOK UNIVERSITY HOSPITAL
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | STONY BROOK UNIVERSITY HOSPITAL
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City | STONY BROOK
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State | NY
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Zip | 11794-0001
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Country | US
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Telephone | 631-444-1066
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Fax |
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Provider Business Mailing Address
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Address Line | 2 GLATTER LN
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City | SOUTH SETAUKET
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State | NY
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Zip | 11720-1032
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Country | US
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Telephone | 631-730-8481
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Fax |
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Authorized Official
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Title or Position | CHIEF OF CARDIOLOGY
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Name | DR. LAWSON WILLIAM
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Credential | MD
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Telephone | 631-444-1066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 305509
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License Number State | NY
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