Provider First Line Business Practice Location Address:
41-40 27TH STREET
Provider Second Line Business Practice Location Address:
C/O THE FLOATING HOSPITAL
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:
11101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-784-2240
Provider Business Practice Location Address Fax Number:
718-784-0240
Provider Enumeration Date:
01/05/2007