Provider First Line Business Practice Location Address:
56-45 MAIN STREET
Provider Second Line Business Practice Location Address:
CRT SURGICAL ASSOCIATES, PC
Provider Business Practice Location Address City Name:
FLUSHING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11355-5045
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-670-1185
Provider Business Practice Location Address Fax Number:
718-670-2313
Provider Enumeration Date:
06/07/2006