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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES BAZEMORE MIKELL III, M.D.

Active

DR. CHARLES BAZEMORE MIKELL III, M.D. is a Neurological Surgery healthcare provider located in STONY BROOK, New York. NPI 1124254917 is currently active in the NPPES registry. Verify at CMS.

Neurological Surgery · STONY BROOK, NY

Registration Details

NPI Number
1124254917
Provider Type
Individual
Gender
Male
NPI Issued
Jun 7, 2009 (17.215072223652 yrs)
Last Updated
Sep 27, 2016
Licenses
TP008 (KY)
273606 (NY)

Practice Information

Address
HSC T12
ROOM 080
STONY BROOK, NY, 117948122
Browse NY providers · Browse ZIP 11794
Phone
6314441116
Primary Specialty
Neurological Surgery
207T00000X
Additional Specialty
Neurological Surgery
Additional Specialty
Neurological Surgery

Other Neurological Surgery Providers in STONY BROOK, NY

Name Credential NPI
HENRY H WOO MD 1982652848
DR. MAGDY SHAWKY SHADY M.D. 1073556437
DR. LISSA PEELING MD 1427345198
DR. REZA DASHTI M.D.,PH.D. 1801167895
DR. HARRY M MUSHLIN M.D. 1518200781
ALEKA NICOLE SCOCO MD 1043673080
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.