Provider First Line Business Practice Location Address:
530 MONTAUK HIGHWAY,
Provider Second Line Business Practice Location Address:
HAROLD MCMAHON MEDICAL CENTER
Provider Business Practice Location Address City Name:
AMAGANSETT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11930-1260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-825-8565
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/23/2008