Provider First Line Business Practice Location Address:
HSC LEVEL 4 RM 080
Provider Second Line Business Practice Location Address:
DEPARTMENT OF EMERGENCY MEDICINE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-444-2478
Provider Business Practice Location Address Fax Number:
323-226-6465
Provider Enumeration Date:
06/17/2008