Provider First Line Business Practice Location Address:
87-41 PARSONS BLVD ROOM 102
Provider Second Line Business Practice Location Address:
SCHOOL BOARD HEALTH CLINIC P.S86
Provider Business Practice Location Address City Name:
JAMAICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-526-3589
Provider Business Practice Location Address Fax Number:
718-297-0298
Provider Enumeration Date:
09/15/2006