Provider First Line Business Practice Location Address:
82 MIDDLE COUNTRY RD
Provider Second Line Business Practice Location Address:
ELSIE OWENS HEALTH CENTER - HRHCARE, INC.
Provider Business Practice Location Address City Name:
CORAM
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11727-4411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-320-2200
Provider Business Practice Location Address Fax Number:
631-698-8570
Provider Enumeration Date:
01/24/2007