Provider Demographics
NPI:1063586790
Name:STURMANN, KAI MAARTEN (MD)
Entity type:Individual
Prefix:DR
First Name:KAI
Middle Name:MAARTEN
Last Name:STURMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1559
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-0989
Mailing Address - Country:US
Mailing Address - Phone:631-444-0650
Mailing Address - Fax:
Practice Address - Street 1:201 MANOR PLACE
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:GREENPORT
Practice Address - State:NY
Practice Address - Zip Code:11944
Practice Address - Country:US
Practice Address - Phone:631-477-5144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY157766207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01016522Medicaid
NY01016522Medicaid