Amanda Baroutjian | Stony Brook, NY • PECOS Search

Amanda Baroutjian

Emergency Medicine

Allopathic & Osteopathic Physicians

101 Nicolls Rd, Stony Brook, NY 11794-0001

PECOS Enrollment

Based on the most recent information from CMS, provider Amanda Baroutjian does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1760131452
Provider Type
Individual
Full Name
Baroutjian, Amanda
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/21/2022
Last Updated
6/24/2025

Contact Information

Practice Location

101 Nicolls Rd, Stony Brook, NY 11794-0001

Unlisted Fax

Mailing Location

101 Nicolls Rd, Stony Brook, NY 11794-0001

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 335528 New York