Dr. Michael Proothi
Oral & Maxillofacial Surgeon
207 Hallock Rd Ste 2
Stony Brook
, New York 11790-3072
Dr. Michael Proothi
Oral & Maxillofacial Surgeon
207 Hallock Rd Ste 2
Stony Brook
, New York 11790-3072
(631) 675-9602
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael Proothi
- 207 Hallock Rd Ste 2
- Stony Brook, NY
- Zip : 11790-3072
- Fax : (631) 675-9602
- Phone : (631) 675-9601
Second Address
- Dr. Michael Proothi
- 207 Hallock Rd Ste 2
- Stony Brook, NY
- Zip : 11790-3072
- Fax : (631) 675-9602
- Phone : (631) 675-9601
Reviews
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Is Dr. Michael Proothi a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgeon | 051735 | NY |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 260012 | NY |
National Provider Identifier
| NPI | 1124279856 |
|---|---|
| Provider Name | Dr. Michael Proothi |
| First Address | Stony Brook, NY 11790-3072 |
| Second Address | Stony Brook, NY 11790-3072 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2008 |
| Last Update Date | 08/02/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.