Provider First Line Business Practice Location Address:
1 STADIUM RD.
Provider Second Line Business Practice Location Address:
STONY BROOK UNIVERSITY STUDENT HEALTH SERVICE
Provider Business Practice Location Address City Name:
STONY BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11790-3191
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-632-6740
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/16/2006