New York Spine and Brain Surgery

NPI #1538392410 in Stony Brook, New York

Provider Information

NPI Number
1538392410
Entity Type
Organization
Organization Name
New York Spine and Brain Surgery
Primary Specialty
Nurse Practitioner - Adult Health
Enumeration Date
Aug 26, 2009
Last Updated
Nov 16, 2009

Practice Location

Address
HSC T12 RM 080
ZIP Code
11794-8122
Phone
(631) 444-8070

Authorized Official

Name
DR. RAPHAEL DAVIS, M.D.
Title
CHAIRMAN
Phone
(631) 444-8070

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health

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