Provider First Line Business Practice Location Address:
265 EAST MAIN STREET
Provider Second Line Business Practice Location Address:
TRANQUILITY COUNSELING
Provider Business Practice Location Address City Name:
EAST ISLIP
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-732-4350
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/12/2006