Provider First Line Business Practice Location Address:
480 OLD WESTBURY RD
Provider Second Line Business Practice Location Address:
NORTH SHORE CHILD & FAMILY GUIDANCE CENTER
Provider Business Practice Location Address City Name:
ROSLYN HEIGHTS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11577-2215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-299-5373
Provider Business Practice Location Address Fax Number:
516-299-5293
Provider Enumeration Date:
06/27/2007