Provider First Line Business Practice Location Address:
SCIENCE AND INNOVATION CENTER 152 HOFSTRA UNIVERSITY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HEMPSTEAD
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11549-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-463-7470
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/17/2026