Provider First Line Business Practice Location Address:
SUNY - COLLEGE AT OLD WESTBURY
Provider Second Line Business Practice Location Address:
STUDENT HEALTH SERVICE, ROOSEVENT HALL
Provider Business Practice Location Address City Name:
OLD WESTBURY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11568-0210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-876-3250
Provider Business Practice Location Address Fax Number:
516-876-3142
Provider Enumeration Date:
06/01/2005