Provider First Line Business Practice Location Address:
1000 N. VILLAGE AVE.
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
ROCKVILLE CENTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11570
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-705-2854
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/21/2012