Provider First Line Business Practice Location Address:
ISMMS NYC HEALTH & HOSPITALS/QUEENS-NY
Provider Second Line Business Practice Location Address:
82-68, 164TH ST
Provider Business Practice Location Address City Name:
QUEENS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-883-4037
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/12/2022