Provider First Line Business Practice Location Address:
2 ROOSEVELT AVE SUITE 300
Provider Second Line Business Practice Location Address:
COOPER KIDS THERAPY
Provider Business Practice Location Address City Name:
SYOSSET
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11791
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-921-4460
Provider Business Practice Location Address Fax Number:
516-921-4432
Provider Enumeration Date:
11/03/2010