Provider Demographics
NPI:1942543459
Name:D'AMBROSIO, CHRISTOPHER (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:D'AMBROSIO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 1554
Mailing Address - Street 2:SUNY STONYBROOK DEPT OF MEDICINE
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-0989
Mailing Address - Country:US
Mailing Address - Phone:631-444-0650
Mailing Address - Fax:631-638-4170
Practice Address - Street 1:200 MOTOR PARKWAY
Practice Address - Street 2:STONY BROOK INTERNISTS, UFPC
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788
Practice Address - Country:US
Practice Address - Phone:631-444-9600
Practice Address - Fax:631-444-9621
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2016-08-11
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Provider Licenses
StateLicense IDTaxonomies
NY282578-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine