Provider First Line Business Practice Location Address:
FOREST HILLS HOSPITAL / NORTH SHORE-LIJ HEALTH SYSTEM
Provider Second Line Business Practice Location Address:
102-01 66TH ROAD
Provider Business Practice Location Address City Name:
FOREST HILLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11375
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-830-4204
Provider Business Practice Location Address Fax Number:
718-830-4025
Provider Enumeration Date:
09/25/2006