Michael Proothi (NPI# 1124279856, PAC ID# 5496879355) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1124279856 |
| PAC ID by PECOS | 5496879355 |
| Professional Enrollment ID | I20100830000072 |
| Full Name | Michael Proothi |
| Address |
207 Hallock Rd Suite 2 Stony Brook NY 11790-3072 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 207 Hallock Rd, Suite 2, Stony Brook, NY 11790-3072 |
| Street Address |
207 HALLOCK RD SUITE 2 |
| City | STONY BROOK |
| State | NY |
| Zip | 11790-3072 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara L Bernstein | Clinical Social Worker | 207 Hallock Rd, Suite 209, Stony Brook, NY 11790-3082 | |
| Carol H Sprafkin | Psychologist, Clinical | 207 Hallock Rd, Suite 209, Stony Brook, NY 11790-3082 | |
| Ann E Gordon | Qualified Speech Language Pathologist | 207 Hallock Rd, Suite 6, Stony Brook, NY 11790-3072 | |
| Elena Luise Maresca Robertson | Qualified Audiologist | 207 Hallock Rd, Suite 208, Stony Brook, NY 11790-3073 | |
| Peter Smith | Podiatry | 207 Hallock Rd, Suite 4, Stony Brook, NY 11790-3072 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Weitzman | Infectious Disease | 36 Erland Rd, Stony Brook, NY 11790-1125 | |
| Karin E Wile | Clinical Social Worker | 34 Erland Rd, Stony Brook, NY 11790-1125 | |
| Stephen L Frederico | Clinical Social Worker | 7 Soundview Ct, Stony Brook, NY 11790-1419 | |
| Christopher Bahnken | Physical Therapy | Kah Premium Physical Therapy P.C. | 97 Main St, Suite H, Stony Brook, NY 11790-1900 |
| Kimberly A Harris | Physical Therapy | Kah Premium Physical Therapy P.C. | 97 Main St, Suite H, Stony Brook, NY 11790-1900 |
| Thomas Robert Sanders | Physical Therapy | Kah Premium Physical Therapy P.C. | 97 Main St, Suite H, Stony Brook, NY 11790-1900 |
| Barnett T Schrier | Optometry | 125 Main St, Stony Brook, NY 11790-1911 | |
| Karin Schlee | Psychologist, Clinical | 1239 N Country Rd, 6a, Stony Brook, NY 11790-1920 | |
| Dina Vivian | Psychologist, Clinical | 1239 N Country Rd, Suite 6a, Stony Brook, NY 11790-1920 | |
| Mark Schoenberg | Psychiatry | 1239 N Country Rd, Suite 7, Stony Brook, NY 11790-1920 | |
| Find all physicians in zip 11790 | |||
| City | STONY BROOK |
| Zip Code | 11790 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | STONY BROOK + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Michael Proothi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.