Sean Alyeshmerni

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI 1992184303 · NPPES record last updated May 19, 2015

Key facts

NPI
1992184303
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
Stony Brook University Medical Ctr
HSC T-10 Room 020
Stony Brook, NY 11794-8101
Phone
(631) 444-3005
Fax
(631) 444-7534
NPI assigned
May 19, 2015
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

Stony Brook University Medical Ctr
HSC T-10 Room 020
Stony Brook, NY 11794-8101

Mailing address

Stony Brook University Medical Ctr
HSC T-10 Room 020
Stony Brook, NY 11794-8101
Phone (631) 444-3005

Other providers in Stony Brook, NY

All providers in Stony Brook, NY · Student in an Organized Health Care Education/Training Program in New York

Sources for this page

Verify at the official NPI Registry.