Provider First Line Business Practice Location Address:
QUEENS HEALTH CARE CENTER
Provider Second Line Business Practice Location Address:
51-40 59TH STREET
Provider Business Practice Location Address City Name:
WOODSIDE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11377
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-639-2931
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/26/2006