Provider First Line Business Practice Location Address:
STONY BROOK SURGICAL ASSOCIATES UFPC
Provider Second Line Business Practice Location Address:
SBUMC HSC LEVEL 19, RM 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:
11794-8191
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-444-7875
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/28/2006