Provider First Line Business Practice Location Address:
UNIVERSITY HOSPITAL SUNY STONY BROOK
Provider Second Line Business Practice Location Address:
DEPARTMENT OF SURGERY HSC-T-18-040
Provider Business Practice Location Address City Name:
STONY BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11794-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-444-1045
Provider Business Practice Location Address Fax Number:
631-444-6176
Provider Enumeration Date:
09/22/2005