Provider First Line Business Practice Location Address:
STONY BROOK UNIVERSITY / DIV OF INFECTIOUS DISEASES
Provider Second Line Business Practice Location Address:
101 NICOLS ROAD HSC T 17 RM 060
Provider Business Practice Location Address City Name:
STONY BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11794-8153
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-444-3940
Provider Business Practice Location Address Fax Number:
631-444-7518
Provider Enumeration Date:
05/22/2019