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NPI Code Detail

MEDICARE: BRUCE CHERNOFSKY MD

MEDICARE:   BRUCE  CHERNOFSKY  MD
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
12085N0700XNeuroradiology Physician201525NY

General Provider Information

NPI Number : 1336177740
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE CHERNOFSKY MD
Provider Business Mailing Address
First Line : PO BOX 1559
Second Line :
City : STONY BROOK
State : NY
Zip : 11790-0989
Country : US
Telephone Number : 631-444-6919
Fax Number :
Provider Business Practice Location Address
First Line : UNIVERSITY HOSPITAL AT STONY BROOK
Second Line :
City : STONY BROOK
State : NY
Zip : 11794-0001
Country : US
Telephone Number : 631-444-6919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 03/08/2026

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Directions to “ BRUCE CHERNOFSKY MD” Practice Location

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