Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 271191 | NY |
NPI | 1013114545 |
---|---|
Provider Name | Brian Hunt |
First Address | Stony Brook, NY 11790-0988 |
Second Address | East Setauket, NY 11733-4080 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2007 |
Last Update Date | 13/01/2016 |