Provider First Line Business Practice Location Address:
500 MAY LANE
Provider Second Line Business Practice Location Address:
BARNUM WOODS ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
EAST MEADOW
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11554
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-564-6500
Provider Business Practice Location Address Fax Number:
516-564-6507
Provider Enumeration Date:
12/08/2011