Provider First Line Business Practice Location Address:
2201 HEMPSTEAD TPKE
Provider Second Line Business Practice Location Address:
NUMC PATHOLOGY DEPT. Q BLDG, ROOM 216
Provider Business Practice Location Address City Name:
EAST MEADOW
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11554-1859
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-342-9433
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/19/2008