Provider First Line Business Practice Location Address:
UNIVERSITY HOSPITAL AT STONY BROOK
Provider Second Line Business Practice Location Address:
HSC T-9 RM 040
Provider Business Practice Location Address City Name:
STONY BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11794-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-444-1205
Provider Business Practice Location Address Fax Number:
631-444-7620
Provider Enumeration Date:
09/20/2005