Provider First Line Business Practice Location Address:
136-26 37TH AVENUE
Provider Second Line Business Practice Location Address:
CHARLES B. WANG COMMUNITY HEALTH CENTER
Provider Business Practice Location Address City Name:
FLUSHING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-451-6520
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/03/2016