Most Relevant Information
Provider Data
| NPI Number: | 1003250622 |
| Provider Name: | CHRISTINE FRANCES DWYER PHYSICIAN ASSISTANT |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 015972 |
Most Important Dates
| Enumeration Date: | 04/25/2013 |
| Last Updated: | 09/20/2022 |
Provider Practice Location
6 TECHNOLOGY DR
STONY BROOK
NY
117949254
Practice Location Phone/Fax
| Phone: | 6314444686 |
| Fax: | 6314444622 |
Provider Mailing Location
PO BOX 1554
STONY BROOK
NY
117900988
Provider Mailing Phone/Fax
| Phone: | 6314440650 |
| Fax: | 6316384170 |