Provider First Line Business Practice Location Address:
NORTHWELL LIJ HOSPITAL RADIOLOGY DEPARTMENT
Provider Second Line Business Practice Location Address:
HOSPITAL 300 COMMUNITY DRIVE
Provider Business Practice Location Address City Name:
MANHASSET
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11030-1859
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-572-6637
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2016