Provider First Line Business Practice Location Address:
3164 21ST ST
Provider Second Line Business Practice Location Address:
MERLIN CHEMISTS, INC
Provider Business Practice Location Address City Name:
LONG ISLAND CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11106-4573
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-267-8900
Provider Business Practice Location Address Fax Number:
717-267-8912
Provider Enumeration Date:
03/05/2010