Provider First Line Business Practice Location Address:
7559 263RD ST
Provider Second Line Business Practice Location Address:
THE ZUCKER HILLSIDE HOSPITAL-DEPT OF PSYCH REHAB
Provider Business Practice Location Address City Name:
GLEN OAKS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11004-1150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-264-1789
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/09/2007