Provider First Line Business Practice Location Address:
79-01 BROADWAY, ELMHURST
Provider Second Line Business Practice Location Address:
NYC HEALTH & HOSPITALS/ELMHURST, PEDIATRICS DEPARTMENT
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:
718-332-2156
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/06/2025