- Provider Address: Staten Island, NY, USA
- Number of Activities Reported Last Year: 6
- Name of Contact: Jennifer Dominguez
- Phone Number: (718) 818-3106
- Address: 355 Bard Avenue, Staten Island, NY, 10310, USA
- Accreditation Status: Accreditation
- Accredited Provider: Medical Society of the State of New York
- Activity Format: Regularly Scheduled Series
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