Provider First Line Business Practice Location Address:
185-08 UNION TURNPIKE
Provider Second Line Business Practice Location Address:
SUITE 101 METRO CHILDRENS SERVICES
Provider Business Practice Location Address City Name:
FRESH MEADOWS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11366
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-264-7250
Provider Business Practice Location Address Fax Number:
718-264-7922
Provider Enumeration Date:
12/16/2008