Stony Brook Community Medical, P.C.

LBN: Stony Brook Community Medical, P.C.
Stony Brook Community Medical, P.C. is an health care organization with primary practice located at 220 N Belle Mead Rd , East Setauket NY 11733-3523. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Stony Brook Community Medical, P.C. can be contacted via phone (631) 638-4018, or through Griffin, Todd R via phone (631) 638-4018.

Contact Information

Primary practice address
220 N Belle Mead Rd East Setauket NY 11733-3523
Phone: (631) 638-4018
Fax: (631) 638-4065
Website:
Map and Directions
Authorized official contact:
Name: Griffin, Todd R Doctor of Medicine (MD)
Phone: (631) 638-4018

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 204792 New York
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1972812220
LBN Legal business name Stony Brook Community Medical, P.C.
DBA Doing business as
Authorized official Griffin, Todd R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2010
Last updated Oct 26th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972812220 NPPES
New York MEDICAID 03319757

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