MITCHELL DOUGLAS DUCKWORTH

STONY BROOK, NY
NPI1649530601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-05-24
Last Update Date2012-05-24
Business Address
Dr. MITCHELL DOUGLAS DUCKWORTH DDS
STONY BROOK UNIVERSITY HOSPITAL DEPT OF
STONY BROOK, NY 11794-8711
Phone number: 631-444-2557
Mailing Address
Dr. MITCHELL DOUGLAS DUCKWORTH DDS
STONY BROOK UNIVERSITY HOSPITAL MEDICAL OFC 9
STONY BROOK, NY 11794-0001
Phone number: 631-444-2557