Provider Demographics
NPI:1225507114
Name:UNIVERSITY HOSPITAL AT STONY BROOK
Entity Type:Organization
Organization Name:UNIVERSITY HOSPITAL AT STONY BROOK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:BIE
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:631-444-7581
Mailing Address - Street 1:100 NICOLLS ROAD
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8410
Mailing Address - Country:US
Mailing Address - Phone:631-444-7581
Mailing Address - Fax:631-444-7431
Practice Address - Street 1:740 COUNTY ROAD 39
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11968-5090
Practice Address - Country:US
Practice Address - Phone:631-444-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY HOSPITAL AT STONY BROOK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital