Provider First Line Business Practice Location Address:
13N NEUROLOGY DEPARTMENT RM 023
Provider Second Line Business Practice Location Address:
STONY BROOK UNIVERSITY HOSPITAL, 101 NICHOLS RD
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:
631-444-3467
Provider Business Practice Location Address Fax Number:
631-444-9337
Provider Enumeration Date:
02/13/2012