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Courtney Livingston Chambers

Student in an Organized Health Care Education/Training Program in Stony Brook, NY. Individual provider (NPI-1).

NPI number1104774785
StatusActive
Last updated in NPPESMar 19, 2026

Details

NPI
1104774785
Entity type
Individual (NPI-1)
Name
Courtney Livingston Chambers
Sex
Male
Sole proprietor
No
Enumeration date
Mar 19, 2026
Certification date
Mar 18, 2026
Last updated
Mar 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–NYYes

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-8434

Phone 631-444-1916 · Fax 631-444-3765

Mailing address

101 Nicolls Rd
Health Sciences Center, Level 4
Stony Brook, NY 11794-8434

Phone 631-444-1916 · Fax 631-444-3765

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