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

New York Spine & Brain Surgery, University Faculty Practice Corporatio

Organization Neurological Surgery Physician · NPI 1154376309

New York Spine & Brain Surgery, University Faculty Practice Corporatio is a Neurological Surgery Physician in Stony Brook, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Partly verified

Some contact details are missing from the federal record.

Suny @ Stony Brook Hsc L12 Rm 080
Stony Brook, NY 11794-0001
Phone: (631) 444-1116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1154376309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raphael Davis — Chair Person · (631) 444-1116
NPI enumeratedMay 24, 2006
Last updated in NPPESOctober 6, 2015
Mailing addressPo Box 1554, Stony Brook, NY 11790-0988

Other providers in Stony Brook