Provider First Line Business Practice Location Address:
15211 UNION TPKE.
Provider Second Line Business Practice Location Address:
CENTER FOR PSYCHOLOGICAL SERVICES
Provider Business Practice Location Address City Name:
FLUSHING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11367
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-990-1550
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/02/2009