Doctor Name: | CRYSTAL KANIA |
NPI Number: | 1043639453 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | Stony Brook Teaching Hospital Department Of Medicine Level 4 Rm 175 Stony Brook, NY - 117948430 |
Business Phone Number: | 6314448231 |
Business Fax Number: | 6314442493 |
Mailing Address: | Stony Brook Teaching Hospital, Department Of Medicine Po Box 1508 STONY BROOK |
State: | NY |
Postal Code: | 117948430 |
Phone Number: | 6314448231 |
Fax Number: | 6314442493 |
NPI Enumeration Date: | 04/14/2014 |
NPI Last Update Date: | 04/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |