Provider First Line Business Practice Location Address:
565 ALBANY AVE
Provider Second Line Business Practice Location Address:
PHYSICAL THERAPY SUITE
Provider Business Practice Location Address City Name:
AMITYVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11701-1115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-557-6466
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/16/2008