State of New York Comptrollers Office

Primary specialty

PharmacyTaxonomy code 333600000X

License

021131 Issued in NY

Legal business name

STATE OF NEW YORK COMPTROLLERS OFFICE

Practice address

100 Patriots Rd
Stony Brook, NY 11790-3318

Phone

(631) 444-8646

NPI assigned

Jun 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pat D Rocco

Title

Cfo

Phone

(631) 444-8646

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Long Island State Veterans Home Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1659317741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PATRIOTS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PATRIOTS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903318",
            "telephone_number": "631-444-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW YORK COMPTROLLERS OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "ROCCO",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "631-444-8646"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "021131",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3331787",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01312716",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01747093",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5151310N",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Island State Veterans Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alex Farrell Stano, DPT
• Whitney Ebony Stansbury, MD, MPH
• State of New York Comptrollers Office
• State of New York Comptrollers Office
• State of New York Comptrollers Office
• Matthew Statz, MD
• Theresa Lorraine Stavola, ANP
• Micah Steele
• Kamil Stefanowski, M.D.
• Amy Wishner Steinberg, MD

• Pharmacy in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.