Provider First Line Business Practice Location Address:
MP TCHC 1080 SUNRISE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AMITYVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-854-1000
Provider Business Practice Location Address Fax Number:
631-854-1031
Provider Enumeration Date:
08/09/2006