Provider First Line Business Practice Location Address:
205 N. BELLE MEADE RD.
Provider Second Line Business Practice Location Address:
STONY BROOK INTERNAL MEDICINE
Provider Business Practice Location Address City Name:
E. SETAUKET
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11733
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-444-4630
Provider Business Practice Location Address Fax Number:
631-444-4617
Provider Enumeration Date:
03/27/2009