| Doctor Name: | DR. AVRAHAM BLUESTONE |
| NPI Number: | 1003072950 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD,PHD |
| License Number: | 256825 |
| Business Practice Address: | Stony Brook Radiology Hsc L4, Room 120 Stony Brook, NY - 117948460 |
| Business Phone Number: | 6314445400 |
| Business Fax Number: | 6314447538 |
| Mailing Address: | Stony Brook Radiology, Hsc L4, Room 120 STONY BROOK |
| State: | NY |
| Postal Code: | 117948460 |
| Phone Number: | 6314445400 |
| Fax Number: | 6314447538 |
| NPI Enumeration Date: | 07/31/2008 |
| NPI Last Update Date: | 08/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 256825 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |