Provider Demographics
NPI:1124224118
Name:STONY BROOK UNIVERSITY HOSPITAL
Entity Type:Organization
Organization Name:STONY BROOK UNIVERSITY HOSPITAL
Other - Org Name:DEPARTMENT OF NEUROLOGY
Other - Org Type:Other Name
Authorized Official - Title/Position:ACTING CHAIR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:COYLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-444-2599
Mailing Address - Street 1:NICOLLS ROAD
Mailing Address - Street 2:HSC T12 ROOM 020 STONY BROOK UNIVERSITY HOSPITAL
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8121
Mailing Address - Country:US
Mailing Address - Phone:631-444-2599
Mailing Address - Fax:631-444-4743
Practice Address - Street 1:NICOLLS ROAD
Practice Address - Street 2:HSC T12 ROOM 020 STONY BROOK UNIVERSITY HOSPITAL
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8121
Practice Address - Country:US
Practice Address - Phone:631-444-2599
Practice Address - Fax:631-444-4743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty