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

John Anthony Servider

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366079048

John Anthony Servider is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

Hsc L12 Rm 80
Stony Brook, NY 11794-0001
Phone: (631) 444-8104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1366079048
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESMarch 24, 2020
Certification dateMarch 24, 2020
Mailing addressHsc L12 Room 80, Stony Brook, NY 11794-0001

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