IndividualActive
Richard Fine, M.D.
NPI 1114960697 · Pediatric Nephrology Physician · Stony Brook, NY
Provider details
- NPI number
- 1114960697
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 184494 (NY)
Practice location
100 Nicolls Rd
Hsc T-11, Rm 060
Stony Brook, NY 11790-3407
Phone: (631) 444-7884
Mailing address
Po Box 1559
Stony Brook, NY 11790-0989
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2015-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.