Provider First Line Business Practice Location Address:
ADELPHI UNIVERSITY, ONE SOUTH AVE
Provider Second Line Business Practice Location Address:
WALDO HALL, HEALTH SERVICES
Provider Business Practice Location Address City Name:
GARDEN CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-877-6004
Provider Business Practice Location Address Fax Number:
516-877-6008
Provider Enumeration Date:
09/13/2006