Provider First Line Business Practice Location Address:
DEPARTMENT OF NEUROLOGY STONY BROOK MEDICINE
Provider Second Line Business Practice Location Address:
HSC T-12, RM 020
Provider Business Practice Location Address City Name:
STONY BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11794-8121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-444-8397
Provider Business Practice Location Address Fax Number:
631-444-1474
Provider Enumeration Date:
09/28/2006