Provider First Line Business Practice Location Address:
NYU LANGONE HOSPITAL LONG ISLAND
Provider Second Line Business Practice Location Address:
259 1ST STREET
Provider Business Practice Location Address City Name:
MINEOLA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-663-0333
Provider Business Practice Location Address Fax Number:
516-663-2310
Provider Enumeration Date:
04/04/2016