Provider First Line Business Practice Location Address:
DEPARTMENT OF PSYCHIATRY & BEHAVIORAL SCIENCE
Provider Second Line Business Practice Location Address:
STONY BROOK UNIVERSITY MEDICAL CENTER HSC T-10 ROOM 020
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:
631-444-3005
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/17/2012