Provider First Line Business Practice Location Address:
15211 UNION TPKE
Provider Second Line Business Practice Location Address:
CENTER FOR PSYCHOLOGICAL SERVICES
Provider Business Practice Location Address City Name:
FLUSHING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11367-3908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-502-2037
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/09/2007