Provider First Line Business Practice Location Address:
UNIVERSITY MEDICAL CENTER STONY BRK
Provider Second Line Business Practice Location Address:
STONY BROOK HOSPITAL, DEPT MEDICINE, HOSPITAL 15N-082
Provider Business Practice Location Address City Name:
STONY BROOK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11794-8160
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-444-3318
Provider Business Practice Location Address Fax Number:
631-444-1235
Provider Enumeration Date:
08/20/2007