Provider First Line Business Practice Location Address:
73 GUY LOMBARDO AVENUE IMSK & SPINE GROUP
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FREEPORT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11520
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-888-3625
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/04/2024