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

Stony Brook Children's Service, University Faculty Practice Corporatio

Organization Pediatrics Physician · NPI 1083660575

Stony Brook Children's Service, University Faculty Practice Corporatio is a Pediatrics 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 L11 Rm 020
Stony Brook, NY 11794-0001
Phone: (631) 444-1362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1083660575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Margaret McGovern — Chair Person · (631) 444-1362
NPI enumeratedMay 26, 2006
Last updated in NPPESFebruary 27, 2015
Mailing addressPo Box 1554, Stony Brook, NY 11790-0988

Other providers in Stony Brook