Provider First Line Business Practice Location Address:
LINDENHURST MIDDLE SCHOOL
Provider Second Line Business Practice Location Address:
350 SOUTH WELLWOOD AVE
Provider Business Practice Location Address City Name:
LINDENHURST
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11757
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-867-3510
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/12/2023