Provider First Line Business Practice Location Address:
19 W JERICHO TPKE
Provider Second Line Business Practice Location Address:
GOHEALTH URGENT CARE
Provider Business Practice Location Address City Name:
HUNTINGTON STATION
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11746-3601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-604-4023
Provider Business Practice Location Address Fax Number:
631-604-4027
Provider Enumeration Date:
09/10/2010