Provider First Line Business Practice Location Address:
111 HEMPSTEAD TPKE
Provider Second Line Business Practice Location Address:
BROOKDALE UNIV HOSPITAL & MEDICAL CENTER
Provider Business Practice Location Address City Name:
WEST HEMPSTEAD
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11552-2155
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-493-9580
Provider Business Practice Location Address Fax Number:
516-493-9581
Provider Enumeration Date:
08/17/2006