Provider First Line Business Practice Location Address:
15 ABBEY CREEK CT
Provider Second Line Business Practice Location Address:
CARE OF USA MEDICAL SERVICES, P.C.
Provider Business Practice Location Address City Name:
EAST ISLIP
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11730-2223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-872-5788
Provider Business Practice Location Address Fax Number:
866-698-7272
Provider Enumeration Date:
09/17/2007