Provider First Line Business Practice Location Address:
STONY BROOK INTERNIST
Provider Second Line Business Practice Location Address:
UFPC SMUMC, HSC LEVEL 15, RM 60
Provider Business Practice Location Address City Name:
STONY BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11794-8154
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-444-1665
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/11/2008