Provider First Line Business Practice Location Address:
200 WEST CARVER STREET
Provider Second Line Business Practice Location Address:
WEST CARVER MEDICAL ASSOC PC
Provider Business Practice Location Address City Name:
HUNTINGTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11743
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-421-0020
Provider Business Practice Location Address Fax Number:
631-421-5139
Provider Enumeration Date:
08/30/2006