Provider First Line Business Practice Location Address:
BLDG 16 VETERANS MEMORIAL HWY
Provider Second Line Business Practice Location Address:
SUFFOLK COUNTY DEPT OF HEALTH DAY REPORTING CENTER
Provider Business Practice Location Address City Name:
HAUPPAUGE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11788
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-853-8621
Provider Business Practice Location Address Fax Number:
631-853-6254
Provider Enumeration Date:
01/23/2009