Provider First Line Business Practice Location Address:
4500 PARSONS BLVD
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PSYCHIATRY & ADDICTION SERVICES
Provider Business Practice Location Address City Name:
FLUSHING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11355
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-670-4416
Provider Business Practice Location Address Fax Number:
172-670-4473
Provider Enumeration Date:
07/07/2020