Provider First Line Business Practice Location Address:
1080 SUNRISE HIGHWAY
Provider Second Line Business Practice Location Address:
MAXINE POSTAL TRICOMMUNITY HEALTH
Provider Business Practice Location Address City Name:
AMITYVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-854-1006
Provider Business Practice Location Address Fax Number:
631-854-1031
Provider Enumeration Date:
08/09/2006