Provider First Line Business Practice Location Address:
250 MILLER PLACE
Provider Second Line Business Practice Location Address:
SUNRISE MEDICAL LABS.
Provider Business Practice Location Address City Name:
HICKSVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11801-1826
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-435-1515
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/19/2008