Provider First Line Business Practice Location Address:
80-09 WINCHESTER BLVD.
Provider Second Line Business Practice Location Address:
LIFELINE CENTER FOR CHILD DEVELOPMENT
Provider Business Practice Location Address City Name:
QUEENS VILLAGE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-740-4300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/12/2013