Provider First Line Business Practice Location Address:
105 04 SUTPHIN BOULEVARD
Provider Second Line Business Practice Location Address:
BRIGHTPOINT QUEENS HEALTH CENTER
Provider Business Practice Location Address City Name:
JAMAICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11435-5022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
855-681-8700
Provider Business Practice Location Address Fax Number:
718-299-1420
Provider Enumeration Date:
09/10/2018