Provider First Line Business Practice Location Address:
STONY BROOK UNIVERSITY HOSPITAL, DEPARTMENT OF EM
Provider Second Line Business Practice Location Address:
HSC, L-4, RM 050
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:
352-559-4796
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/25/2025