Provider First Line Business Practice Location Address:
NYC MEDICAL CARE
Provider Second Line Business Practice Location Address:
79-16 37TH AVENUE
Provider Business Practice Location Address City Name:
JACKSON HEIGHTS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11372
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-396-4436
Provider Business Practice Location Address Fax Number:
917-396-4046
Provider Enumeration Date:
01/24/2016