Provider First Line Business Practice Location Address:
NYC HEALTH & HOSPITALS/ELMHURST
Provider Second Line Business Practice Location Address:
79-01 BROADWAY
Provider Business Practice Location Address City Name:
ELMHURST
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11373-1329
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-334-5970
Provider Business Practice Location Address Fax Number:
718-334-5886
Provider Enumeration Date:
03/30/2015