Provider First Line Business Practice Location Address:
STONYBROOK UNIVERSITY MEDICAL CTR
Provider Second Line Business Practice Location Address:
SUNY - 9440
Provider Business Practice Location Address City Name:
STONY BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11794-9440
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-444-9267
Provider Business Practice Location Address Fax Number:
631-444-1211
Provider Enumeration Date:
05/01/2007