Provider First Line Business Practice Location Address:
1 STADIUM DR
Provider Second Line Business Practice Location Address:
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:
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:
12/28/2006