Provider First Line Business Practice Location Address:
HEALTH SCIENCE CENTER T-10
Provider Second Line Business Practice Location Address:
STONYBROOK UNIVERSITY HOSPITAL DEPARTMENT OF PSYCHIATRY
Provider Business Practice Location Address City Name:
STONY BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11790-8101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-444-2884
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/17/2010