Provider First Line Business Practice Location Address:
270-05 76TH AVE
Provider Second Line Business Practice Location Address:
NS LIJ HOSPITAL HEALTH SYSTEM
Provider Business Practice Location Address City Name:
NEW HYDE PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-470-7270
Provider Business Practice Location Address Fax Number:
718-470-0827
Provider Enumeration Date:
01/31/2008