Provider First Line Business Practice Location Address:
LONG ISLAND JEWISH MEDICAL CENTER
Provider Second Line Business Practice Location Address:
70-05 76TH AVE, QUEENS, NY 11040
Provider Business Practice Location Address City Name:
QUEENS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-470-7880
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/03/2021