Provider First Line Business Practice Location Address:
45 RESEARCH WAY STE 108
Provider Second Line Business Practice Location Address:
STONY BROOK INTERNISTS
Provider Business Practice Location Address City Name:
EAST SETAUKET
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11733-6401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-941-2000
Provider Business Practice Location Address Fax Number:
631-941-2010
Provider Enumeration Date:
06/09/2010