Provider First Line Business Practice Location Address:
DEPARTMENT OF MEDICINE
Provider Second Line Business Practice Location Address:
SCHOOL OF MEDICINE, STONY BROOK UNIVERSITY
Provider Business Practice Location Address City Name:
STONY BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11794-8430
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-444-1106
Provider Business Practice Location Address Fax Number:
631-444-2493
Provider Enumeration Date:
03/20/2006