Dr. Richard Fine
Pediatric Nephrologist
100 Nicolls Rd Hsc T-11, Rm 060
Stony Brook
, New York 11790-3407
Dr. Richard Fine
Pediatric Nephrologist
100 Nicolls Rd Hsc T-11, Rm 060
Stony Brook
, New York 11790-3407
(631) 444-7884
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About
Features
Specialties
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Richard Fine
- Po Box 1559
- Stony Brook, NY
- Zip : 11790-0989
- Phone : (631) 444-7884
Second Address
- Dr. Richard Fine
- 100 Nicolls Rd Hsc T-11, Rm 060
- Stony Brook, NY
- Zip : 11790-3407
- Phone : (631) 444-7884
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0210X | Pediatric Nephrologist | 184494 | NY |
National Provider Identifier
| NPI | 1114960697 |
|---|---|
| Provider Name | Dr. Richard Fine |
| First Address | Stony Brook, NY 11790-0989 |
| Second Address | Stony Brook, NY 11790-3407 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2006 |
| Last Update Date | 21/04/2015 |
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.