State of New York Comptrollers Office

NPI #1053482067 in Stony Brook, New York

Provider Information

NPI Number
1053482067
Entity Type
Organization
Organization Name
State of New York Comptrollers Office
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF NEW YORK COMPTROLLERS OFFICE
Primary Specialty
Dentist
Enumeration Date
Nov 13, 2006
Last Updated
Aug 3, 2018

Practice Location

Address
184D NICHOLS ROAD SULLIVAN HALL
ZIP Code
11794
Phone
(631) 632-8966

Authorized Official

Name
CAROL SLOANE
Title
ASST. DEAN CLINIC OPERATIONS
Phone
(631) 632-8966

Specialties & Taxonomy Codes

Specialty
Dentist

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