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Brigid O'Hara Hornback, M.D.

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

NPI number1942904321
StatusActive
Last updated in NPPESApr 18, 2023

Details

NPI
1942904321
Entity type
Individual (NPI-1)
Name
Brigid O'Hara Hornback
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Mar 29, 2023
Certification date
Apr 18, 2023
Last updated
Apr 18, 2023

Taxonomy and licenses

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

Practice location

101 Nicolls Rd Rm 20
Stony Brook, NY 11794-0001

Phone 631-444-2990

Mailing address

101 Nicolls Rd Rm 20
Stony Brook, NY 11794-0001

Phone 631-444-2990

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