Provider First Line Business Practice Location Address:
1STADIUM RD,STUDENT HEALTH SERVICE, STONYBROOK UNIV
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STONY BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11794-3191
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:
631-632-6936
Provider Enumeration Date:
05/23/2005