Provider First Line Business Practice Location Address:
320 MONTAUK HIGHWAY
Provider Second Line Business Practice Location Address:
UNIVERSITY ASSOCIATES IN OBSTETRICS & GYNECOLOGY, UFPC
Provider Business Practice Location Address City Name:
WEST ISLIP
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11795-8091
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-587-2500
Provider Business Practice Location Address Fax Number:
631-587-0292
Provider Enumeration Date:
03/31/2011