Provider First Line Business Practice Location Address:
7901 BROADWAY ELMHURST
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PSYCHIATRY ELMHURST HOSPITAL CENTER
Provider Business Practice Location Address City Name:
ELMHURST
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11373
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-334-3542
Provider Business Practice Location Address Fax Number:
718-334-3441
Provider Enumeration Date:
04/26/2024