Provider First Line Business Practice Location Address:
89-30 161T STREET
Provider Second Line Business Practice Location Address:
SCO CHILDREN AND FAMILY SERVICES
Provider Business Practice Location Address City Name:
JAMAICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-674-7773
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/04/2015