Provider First Line Business Practice Location Address:
460 NORTH MAIN STREET
Provider Second Line Business Practice Location Address:
FREEPORT COMMUNITY HEALTH CENTER
Provider Business Practice Location Address City Name:
FREEPORT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11520
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-571-8600
Provider Business Practice Location Address Fax Number:
516-571-8622
Provider Enumeration Date:
02/18/2009