Provider First Line Business Practice Location Address:
MMC AT SARATOGA INTERFAITH FAMILY SHELTER
Provider Second Line Business Practice Location Address:
175-15 ROCKAWAY BOULEVARD
Provider Business Practice Location Address City Name:
QUEENS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11434-5503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-377-4722
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/05/2007