Provider First Line Business Practice Location Address:
89-56 162ND ST. 2ND FLOOR
Provider Second Line Business Practice Location Address:
CHILD CENTER OF NEW YORK- JAMAICA CLINIC
Provider Business Practice Location Address City Name:
JAMAICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11432-5072
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-657-7100
Provider Business Practice Location Address Fax Number:
718-657-7137
Provider Enumeration Date:
06/08/2012