Provider First Line Business Practice Location Address:
75-59 263RD STREET
Provider Second Line Business Practice Location Address:
ZUCKER HILLSIDE HOSPITAL
Provider Business Practice Location Address City Name:
GLEN OAKS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-470-8540
Provider Business Practice Location Address Fax Number:
718-831-2610
Provider Enumeration Date:
04/10/2008