Individual provider · NPI-1

Patrick Crosby, MD

Surgery · Stony Brook, NY

NPI number1144725714

StatusActive

Last updated in NPPESMay 23, 2023

Details

NPI: 1144725714
Entity type: Individual (NPI-1)
Name: Patrick Crosby
Credential: MD
Sex: Male
Sole proprietor: Yes
Enumeration date: Mar 27, 2018
Certification date: May 23, 2023
Last updated: May 23, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208600000X	Surgery	322066	NY	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

101 Nicolls Rd
Health Sciences Center L19-020
Stony Brook, NY 11794

Phone 631-444-2034 · Fax 631-444-8947

Mailing address

101 Nicolls Rd
Health Science Center, L19-020
Stony Brook, NY 11794

Phone 631-444-2034 · Fax 631-444-8947

Other practice locations

1800 Orleans Street - Tower 110
Baltimore, MD 21287

Phone 410-955-5020

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