Provider First Line Business Practice Location Address:
87-08 JUSTICE AVENUE, C7
Provider Second Line Business Practice Location Address:
THE CHILD CENTER OF NY - ASIAN CLINIC
Provider Business Practice Location Address City Name:
ELMHURST
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11373
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-899-9810
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/25/2008