Provider First Line Business Practice Location Address:
33 WEST HAWTHORNE AVE. SUITE 31
Provider Second Line Business Practice Location Address:
NEW YORK HEALTH CARE
Provider Business Practice Location Address City Name:
VALLEY STREAM
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11580
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-375-6700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/30/2017