Provider First Line Business Practice Location Address:
1601 NEWBRIDGE RD
Provider Second Line Business Practice Location Address:
NEWBRIDGE ROAD ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
NORTH BELLMORE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11710-1603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-992-3000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/17/2011