Individual provider · NPI-1

Diana Avsker

Surgery, Trauma Surgery · Stony Brook, NY

NPI number1114372893
StatusActive
Last updated in NPPESOct 21, 2022

Details

NPI
1114372893
Entity type
Individual (NPI-1)
Name
Diana Avsker
Sex
Female
Sole proprietor
No
Enumeration date
Apr 29, 2016
Certification date
Oct 21, 2022
Last updated
Oct 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0127X Surgery, Trauma Surgery319399-01NYYes

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-0001

Phone 631-444-8329

Mailing address

101 Nicolls Rd # T18-040
Stony Brook, NY 11794-8191

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