Provider First Line Business Practice Location Address:
7811 QUEENS PLAZA
Provider Second Line Business Practice Location Address:
DEPARTMENT OF EDUCATION
Provider Business Practice Location Address City Name:
LONG ISLAND
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-528-3432
Provider Business Practice Location Address Fax Number:
718-528-3303
Provider Enumeration Date:
07/02/2012