Provider First Line Business Practice Location Address:
HSC LEVEL 4 ROOM 080 - DEPT OF EMERGENCY MEDICINE
Provider Second Line Business Practice Location Address:
STONY BROOK UNIV. MEDICAL CENTER
Provider Business Practice Location Address City Name:
STONY BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11754-8350
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:
Provider Enumeration Date:
10/31/2008