KIMBERLY SIU MD
NPI 1366616930
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Q: What is Kimberly Siu's NPI number?

The NPI number for Kimberly Siu is 1366616930. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Q: What is Kimberly Siu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Siu was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 15, 2008

STONY BRROK UNIVERSITY HOSPITAL, DEPT OF PREVENTIVE MEDICINE, STONY BROOK, NY 11794(631) 444-8265(631) 444-7525 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly Siu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY SIU MD (NPI 1366616930) is an individual student in an organized health care education/training program in Stony Brook, New York, licensed in New York (233090) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1366616930

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKIMBERLY SIUCredential: MD

Location AddressSTONY BRROK UNIVERSITY HOSPITAL, DEPT OF PREVENTIVE MEDICINEStony Brook, NY 11794-8036

Mailing AddressStony Brrok University Hospital, Medical Staff Office T-14Stony Brook, NY 11794-7148 · (631) 444-2754 · Fax (631) 444-6031

Phone(631) 444-8265

Fax(631) 444-7525

Sole ProprietorNo

Enumeration DateApril 15, 2008

✔ NPI 1366616930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NY · 233090

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

STONY BRROK UNIVERSITY HOSPITAL, Stony Brook, NY 11794

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIRVANI T GOOLSARRAN M.D

Internal Medicine

STONY BRROK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T9
STONY BROOK, NY 11794

Suffolk County (631) 444-2754

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Siu's NPI number?

The NPI number for Kimberly Siu is 1366616930. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Where is Kimberly Siu located?

Kimberly Siu practices at Stony Brrok University Hospital Dept Of Preventive Medicine, Stony Brook, NY 11794. The listed phone number is (631) 444-8265.

What is Kimberly Siu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kimberly Siu was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.