Provider First Line Business Practice Location Address:
SUNY @ STONY BROOK, DEPT OF NEUROLOGY
Provider Second Line Business Practice Location Address:
HEALTH SCIENCE CENTER T12-020
Provider Business Practice Location Address City Name:
STONY BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11794-8121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-444-7878
Provider Business Practice Location Address Fax Number:
631-632-2451
Provider Enumeration Date:
09/14/2011