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NPI Code Detail

MEDICARE: STATE OF NEW YORK COMPTROLLERS OFFICE

MEDICARE: STATE OF NEW YORK COMPTROLLERS OFFICE
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
13336L0003XLong Term Care Pharmacy
2333600000XPharmacy021131NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13331787OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659317741
Entity Type Code : Organization
Provider Name (Legal Business Name) : STATE OF NEW YORK COMPTROLLERS OFFICE
Provider Business Mailing Address
First Line : 100 PATRIOTS RD
Second Line :
City : STONY BROOK
State : NY
Zip : 11790-3318
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 PATRIOTS RD
Second Line :
City : STONY BROOK
State : NY
Zip : 11790-3318
Country : US
Telephone Number : 631-444-8646
Fax Number :
Authorized Official
Title or Position : CFO
Name : PAT D ROCCO
Credential :
Telephone Number : 631-444-8646
Provider Enumeration Date : 06/20/2006
Last Update Date : 04/03/2018

Similar Medicare Providers

1184621724 — STATE OF NEW YORK COMPTROLLERS OFFICE
Practice Location Address:
100 PATRIOTS RD
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11790-3318
Practice Phone: 631-444-8500
Practice Fax: 631-444-8575
1194750505 — DR. FRANK CERVO M.D.
Practice Location Address:
100 PATRIOTS RD
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1952411936 — MARYANNE R FARINA PA
Practice Location Address:
100 PATRIOTS RD
STONY BROOK, NY
11790-3318
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Practice Fax: 631-444-8778
1326123886 — DR. CARLOS FERMO JR. MD
Practice Location Address:
100 PATRIOTS RD
STONY BROOK, NY
11790-3318
Practice Phone: 631-444-8608
Practice Fax:
1730264441 — DR. MOHAMMED JAHANGIR ALAM M.D.
Practice Location Address:
100 PATRIOTS RD
STONY BROOK, NY
11790-3318
Practice Phone: 631-444-8608
Practice Fax: 631-444-8778
1891853438 — MS. REBECCA M LEONG RPH
Practice Location Address:
100 PATRIOTS RD
STONY BROOK, NY
11790-3318
Practice Phone: 631-444-8786
Practice Fax: 631-444-8787

Directions to “STATE OF NEW YORK COMPTROLLERS OFFICE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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