Provider First Line Business Practice Location Address:
STONY BROOK NEUROLOGY ASSOCIATES
Provider Second Line Business Practice Location Address:
HSC 12 ROOM 020
Provider Business Practice Location Address City Name:
STONY BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11794-8121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-444-9365
Provider Business Practice Location Address Fax Number:
631-444-9337
Provider Enumeration Date:
07/01/2008