Provider First Line Business Practice Location Address:
DEPT. OF PROBATION-DAY REPORTING, BLDG#16
Provider Second Line Business Practice Location Address:
NORTH COUNTY COMPLEX
Provider Business Practice Location Address City Name:
HAUPPAUGE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11788
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-853-6272
Provider Business Practice Location Address Fax Number:
631-853-6266
Provider Enumeration Date:
08/19/2006