Provider Demographics
NPI:1831159292
Name:STRATEMEIER, MICHAEL W (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:W
Last Name:STRATEMEIER
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:101 NICOLS ROAD
Mailing Address - Street 2:HSC, L-4, ROOM 080
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8350
Mailing Address - Country:US
Mailing Address - Phone:631-444-2478
Mailing Address - Fax:631-444-2478
Practice Address - Street 1:101 NICOLS ROAD
Practice Address - Street 2:HSC, L-4, ROOM 080
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8350
Practice Address - Country:US
Practice Address - Phone:631-444-2478
Practice Address - Fax:631-444-3919
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY219353207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02348869Medicaid
H77609Medicare UPIN
NY02348869Medicaid