Provider First Line Business Practice Location Address:
ST. JOSEPH HOSPITAL
Provider Second Line Business Practice Location Address:
4295 HEMPSTEAD TPKE
Provider Business Practice Location Address City Name:
BETHPAGE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-520-2538
Provider Business Practice Location Address Fax Number:
516-520-2726
Provider Enumeration Date:
05/15/2025