Provider First Line Business Practice Location Address:
264 W. 22ND ST.
Provider Second Line Business Practice Location Address:
OAKWOOD PRIMARY CENTER
Provider Business Practice Location Address City Name:
HUNT.
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11743
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-812-3510
Provider Business Practice Location Address Fax Number:
631-812-3535
Provider Enumeration Date:
03/01/2016