Provider First Line Business Practice Location Address:
T18-020 HEALTH SCIENCES CTR
Provider Second Line Business Practice Location Address:
DEPT ORTHOPEDICS
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:
631-444-7830
Provider Business Practice Location Address Fax Number:
631-444-3502
Provider Enumeration Date:
07/15/2008