Provider First Line Business Practice Location Address:
8900, VAN WYCK EXPRESSWAY
Provider Second Line Business Practice Location Address:
JAMAICA HOSPITAL MEDICAL CENTER, DEPT. OF SURGERY
Provider Business Practice Location Address City Name:
JAMAICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11418-2832
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-206-6715
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/24/2007