Provider First Line Business Practice Location Address:
169 PUTNAM HALL DEPARTMENT OF PSYCHIATRY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STONY BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11794-5528
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-632-2428
Provider Business Practice Location Address Fax Number:
631-216-8319
Provider Enumeration Date:
03/17/2016