Provider First Line Business Practice Location Address:
638 JERICHO TURNPIKE
Provider Second Line Business Practice Location Address:
HUNTINGTON CLINIC
Provider Business Practice Location Address City Name:
HUNTINGTON STATION
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11746
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-854-4400
Provider Business Practice Location Address Fax Number:
631-854-4411
Provider Enumeration Date:
04/06/2007