New York Spine & Brain Surgery, University Faculty Practice Corporatio
NPI #1154376309 in Stony Brook, New York
Provider Information
- NPI Number
- 1154376309
- Entity Type
- Organization
- Organization Name
- New York Spine & Brain Surgery, University Faculty Practice Corporatio
- Primary Specialty
- Neurological Surgery
- Enumeration Date
- May 24, 2006
- Last Updated
- Oct 6, 2015
Practice Location
- Address
- SUNY @ STONY BROOK
- Address 2
- HSC, L12, RM 080
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11794-0001
- Phone
- (631) 444-1116
Authorized Official
- Name
- RAPHAEL P. DAVIS, M.D.
- Title
- CHAIR PERSON
- Phone
- (631) 444-1116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Neurological Surgery |
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