Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

New York Spine and Brain Surgery

Organization Adult Health Nurse Practitioner · NPI 1538392410

New York Spine and Brain Surgery is an Adult Health Nurse Practitioner in Stony Brook, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009

Practice location Address checks out

Hsc T12 Rm 080
Stony Brook, NY 11794-8122
Phone: (631) 444-8070
Fax: (631) 444-1535
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 305171 (NY)

Record details

NPI number1538392410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raphael Davis — Chairman · (631) 444-8070
NPI enumeratedAugust 26, 2009
Last updated in NPPESNovember 16, 2009
Mailing addressHsc T12 Rm 080, Stony Brook, NY 11794-8122

Other providers in Stony Brook