Provider First Line Business Practice Location Address:
8900 VAN WYCK EXPRESSWAY
Provider Second Line Business Practice Location Address:
JAMAICA HOSPITAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
JAMAICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-735-5219
Provider Business Practice Location Address Fax Number:
718-735-5219
Provider Enumeration Date:
12/21/2009