Provider First Line Business Mailing Address:
152-11 89TH AVE.
Provider Second Line Business Mailing Address:
MARY IMMACULATE HOSPITAL ,
Provider Business Mailing Address City Name:
JAMAICA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11432-1108
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-558-2714
Provider Business Mailing Address Fax Number:
718-558-2166