Provider First Line Business Practice Location Address:
60 CHARLES LINDBERGH BLVD
Provider Second Line Business Practice Location Address:
SUITE 100 OFFICE OF CHILDREN WITH SPECIAL NEEDS
Provider Business Practice Location Address City Name:
UNIONDALE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11553-3683
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-227-8640
Provider Business Practice Location Address Fax Number:
516-227-8662
Provider Enumeration Date:
06/13/2012