Provider First Line Business Practice Location Address:
LONGWOOD ROAD
Provider Second Line Business Practice Location Address:
JUST KIDS DIAGNOSTIC & TREATMENT CENTER
Provider Business Practice Location Address City Name:
MIDDLE ISLAND
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11953
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-924-1000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/08/2008