Provider First Line Business Practice Location Address:
SOUTH SIDE HOSPITAL EMERGENCY DEPARTMENT - NORTHWELL
Provider Second Line Business Practice Location Address:
301 EAST MAIN STREET
Provider Business Practice Location Address City Name:
BAY SHORE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-968-3970
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2018