Provider First Line Business Practice Location Address:
225 RABRO DR
Provider Second Line Business Practice Location Address:
SUFFOLK CTY DEPT OF HEALTH SERVICES
Provider Business Practice Location Address City Name:
HAUPPAUGE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11788
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-853-3013
Provider Business Practice Location Address Fax Number:
631-853-3031
Provider Enumeration Date:
09/26/2006