Provider First Line Business Practice Location Address:
27111 76TH AVE
Provider Second Line Business Practice Location Address:
C/O DR. NADIA IRSHAD, MD, DEPT. OF MEDICINE-2ND FLOOR
Provider Business Practice Location Address City Name:
NEW HYDE PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11040-1436
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-488-4543
Provider Business Practice Location Address Fax Number:
929-500-2939
Provider Enumeration Date:
04/20/2016