Provider First Line Business Practice Location Address:
825 EAST GATE BLVD.
Provider Second Line Business Practice Location Address:
MARIAN CARE INC.
Provider Business Practice Location Address City Name:
GARDEN CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-741-8600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/17/2008