Provider First Line Business Practice Location Address:
STONY BROOK INTERNISTS UFPC
Provider Second Line Business Practice Location Address:
HSC T16-080
Provider Business Practice Location Address City Name:
STONY BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11794-8166
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-444-1617
Provider Business Practice Location Address Fax Number:
631-444-6174
Provider Enumeration Date:
04/16/2009