Dr MOHSEN BANNAZADEH is a male medical professional, specializing in Vascular Surgery. He graduated in 2002.
STONY BROOK SURGICAL ASSOCIATES UNIVERSITY FACULTY PRACTICE CORPORATI
37 RESEARCH WAY
EAST SETAUKET
NY
117333465
Tel: 6314444545
| Npi | 1134354988 |
| Pac Id | 5092946228 |
| Professional Enrollment Id | I20170606000221 |
| Last Name | BANNAZADEH |
| First Name | MOHSEN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2002 |
| Primary Specialty | VASCULAR SURGERY |
| Secondary Specialty 1 | GENERAL SURGERY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GENERAL SURGERY |
| Organization Legal Name | STONY BROOK SURGICAL ASSOCIATES UNIVERSITY FACULTY PRACTICE CORPORATI |
| Group Practice Pac Id | 0345143749 |
| Number Of Group Practice Members | 89 |
| Line 1 Street Address | 37 RESEARCH WAY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 117333465 |
| Phone Number | 6314444545 |
| Hospital Affiliation Ccn 1 | 330393 |
| Hospital Affiliation Lbn 1 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Hospital Affiliation Ccn 2 | 330141 |
| Hospital Affiliation Lbn 2 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 330185 |
| Hospital Affiliation Lbn 3 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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