Provider First Line Business Practice Location Address:
850 FULTON STREET STE.2
Provider Second Line Business Practice Location Address:
PREMIER INTERNAL MEDICINE, PLLC
Provider Business Practice Location Address City Name:
FARMIONGDALE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-845-1600
Provider Business Practice Location Address Fax Number:
516-845-5610
Provider Enumeration Date:
09/29/2006