Provider First Line Business Practice Location Address:
8268 164TH ST
Provider Second Line Business Practice Location Address:
QUEEENS HOSPIAL CENTER-DEPT OF RADIOLOGY
Provider Business Practice Location Address City Name:
JAMAICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11432-1121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-883-4400
Provider Business Practice Location Address Fax Number:
718-883-6198
Provider Enumeration Date:
12/27/2005