Provider First Line Business Practice Location Address:
DEPARTMENT OF VETERANS AFFAIRS EXTENDED CARE CNTR
Provider Second Line Business Practice Location Address:
179 ST & LINDEN BLVD, DOMICILIARY #88
Provider Business Practice Location Address City Name:
JAMAICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11425-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-526-1000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/20/2006