Provider First Line Business Practice Location Address:
PRIDE OF JUDEA COMMUNITY SERVICES
Provider Second Line Business Practice Location Address:
243-02 NORTHERN BLVD.
Provider Business Practice Location Address City Name:
DOUGLASTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11362
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-423-6200
Provider Business Practice Location Address Fax Number:
718-423-9762
Provider Enumeration Date:
08/01/2018