Provider First Line Business Practice Location Address:
ELEFTERIOS FRANGOPOULOS
Provider Second Line Business Practice Location Address:
96 DEER RUN
Provider Business Practice Location Address City Name:
ROSLYN HEIGHTS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11577-1972
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-209-4698
Provider Business Practice Location Address Fax Number:
516-931-8039
Provider Enumeration Date:
11/20/2006