MAKSIM AGARONOV (NPI# 1871805960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871805960 |
| Entity Type | Individual |
| Full Name | MAKSIM AGARONOV |
| Credential | M.D. |
| Practice Address |
101 Nicolls Road Stony Brook University Hospital Department of Pathology Stony Brook NY 11790 |
| Mailing Address |
1552 W 3rd St Apt 3a Brooklyn NY 11204-4133 |
| Practice Telephone | 3478499612 |
| Mailing Telephone | 3478499612 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2016-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
101 NICOLLS ROAD STONY BROOK UNIVERSITY HOSPITAL DEPARTMENT OF PATHOLOGY |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922060110 | Roberto B Gil | Psychiatry & Neurology | 101 Nicolls Road, Stony Brook University Hospital, Psychiatry Department, Stony Brook, NY 11794-8101 | 2006-04-04 |
| 1558990002 | Katie Elizabeth Brown | Student in an Organized Health Care Education/Training Program | 101 Nicolls Road, Stony Brook Medicine Hsc Level 11 Rm 040, Stony Brook, NY 11794 | 2020-04-06 |
| 1538797667 | Megan Hodges | Student in an Organized Health Care Education/Training Program | 101 Nicolls Road, Hsc Level 4, Room 050, Stony Brook, NY 11794 | 2020-04-01 |
| 1275161028 | Andrew Ramirez | Student in an Organized Health Care Education/Training Program | 101 Nicolls Road, Hsc Level 4, Room 050, Stony Brook, NY 11794 | 2020-03-28 |
| 1063040806 | Daod Pak | Student in an Organized Health Care Education/Training Program | 101 Nicolls Road, Hsc T12/020, Stony Brook, NY 11794-8121 | 2020-03-28 |
| 1316575277 | Zaina Naeem | Student in an Organized Health Care Education/Training Program | 101 Nicolls Road, Dept of Surgery, Hsc T-19, Rm 030, Stony Brook, NY 11794-8191 | 2020-03-27 |
| 1518594092 | Alyssa Kettler | Student in an Organized Health Care Education/Training Program | 101 Nicolls Road, Hsc Level 4, Room 050, Stony Brook, NY 11794-8350 | 2020-03-25 |
| 1699302083 | Ryan Clark Earwood | Student in an Organized Health Care Education/Training Program | 101 Nicolls Road, Hsc Level 4, Room 050, Stony Brook, NY 11794 | 2020-03-25 |
| 1134756687 | Dawei Wu | Student in an Organized Health Care Education/Training Program | 101 Nicolls Road, Health Sciences Center Level 4, Room 176, Stony Brook, NY 11794-8430 | 2020-03-25 |
| 1659908234 | James Richard Mattson | Student in an Organized Health Care Education/Training Program | 101 Nicolls Road, Health Science Center T16, Room 020, Stony Brook, NY 11794 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563081 | Stephen Quiery | Student in an Organized Health Care Education/Training Program | 24 Old Wood Rd, Stony Brook, NY 11790-1028 | 2020-09-19 |
| 1073133443 | Katherine Anne De Jesus | Student in an Organized Health Care Education/Training Program | 101 Nicholls Road Level 1, Stony Brook, NY 11794-7007 | 2020-04-25 |
| 1174142459 | Valerie Elyse Spano | Student in an Organized Health Care Education/Training Program | Stony Brook University Hospital, School of Dental Medic, 151 Westchester Hall, Stony Brook, NY 11794-8711 | 2020-04-16 |
| 1598384190 | Bryce Charles Schroeder | Student in an Organized Health Care Education/Training Program | Stony Brook University Hospital Hsc Level 4, Room 176, Stony Brook, NY 11794-0001 | 2020-04-13 |
| 1689293722 | Pallavi Tatapudy | Student in an Organized Health Care Education/Training Program | Suny-stony Brook Health Science Ctr/t-10 020, Stony Brook, NY 11794-8101 | 2020-04-09 |
| 1821627597 | Justice Uzoma Achonu | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine Hsc T-18 - 089, Stony Brook, NY 11794-8181 | 2020-04-05 |
| 1588293682 | Jaymie Eureko Oentoro | Student in an Organized Health Care Education/Training Program | 101 Nicolis Road, Stony Brook University Hospital, Department of Patholog, Stony Brook, NY 11794-7025 | 2020-04-02 |
| 1366071482 | Shantel Apeseche | Student in an Organized Health Care Education/Training Program | 101 Nicholls Road Hsc Level 11 Room 040, Stony Brook, NY 11794-0001 | 2020-04-02 |
| 1811526973 | Prerna Khetan | Student in an Organized Health Care Education/Training Program | Stony Brook University Hospital, Nichols Road, Department of Pathology, Level 2- 749, Stony Brook, NY 11794-7025 | 2020-04-02 |
| 1962030056 | Eddy B Sun | Student in an Organized Health Care Education/Training Program | Dept of Internal Medicine Hsc16-020, Stony Brook, NY 11794-0001 | 2020-04-01 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
Please comment or provide details below to improve the information on MAKSIM AGARONOV.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.