Provider First Line Business Practice Location Address:
175 JERICHO TURNPIKE SUITE 103
Provider Second Line Business Practice Location Address:
SYOSSET SPEECH & HEARING CENTER
Provider Business Practice Location Address City Name:
SYOSSET
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11791
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-364-1234
Provider Business Practice Location Address Fax Number:
516-364-3132
Provider Enumeration Date:
11/15/2006