Provider First Line Business Practice Location Address:
80 NORTH FRANKLIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HEMPSTEAD
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-538-8980
Provider Business Practice Location Address Fax Number:
516-538-8988
Provider Enumeration Date:
08/24/2006