Provider First Line Business Practice Location Address:
888 OLD COUNTRY RD
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PATHOLOGY, NSUH @ PLAINVIEW
Provider Business Practice Location Address City Name:
PLAINVIEW
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11803-4914
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-719-2289
Provider Business Practice Location Address Fax Number:
516-681-6567
Provider Enumeration Date:
10/02/2006