Provider First Line Business Practice Location Address:
6110 QUEENS BLVD FL 2
Provider Second Line Business Practice Location Address:
ESPRIT MEDICAL CARE, AN AFFILIATE OF VNSNY
Provider Business Practice Location Address City Name:
WOODSIDE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11377-5771
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-397-2000
Provider Business Practice Location Address Fax Number:
646-524-8323
Provider Enumeration Date:
02/09/2010