Provider First Line Business Practice Location Address:
450 LAKEVILLE RD
Provider Second Line Business Practice Location Address:
PRE-SURGICAL TESTING
Provider Business Practice Location Address City Name:
NEW HYDE PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11042-1117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-734-8006
Provider Business Practice Location Address Fax Number:
516-734-8075
Provider Enumeration Date:
05/12/2009