Provider First Line Business Practice Location Address:
WEST CARVER MEDICAL ASSOC.
Provider Second Line Business Practice Location Address:
200 WEST CARVER ST.
Provider Business Practice Location Address City Name:
HUNTINGTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11743-3303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-421-0020
Provider Business Practice Location Address Fax Number:
631-421-0688
Provider Enumeration Date:
05/14/2007