Provider First Line Business Practice Location Address:
300 COUNTY CENTER
Provider Second Line Business Practice Location Address:
RIVERHEAD HEALTH CENTER
Provider Business Practice Location Address City Name:
RIVERHEAD
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-852-1800
Provider Business Practice Location Address Fax Number:
631-852-3723
Provider Enumeration Date:
09/22/2006