Provider First Line Business Practice Location Address:
800 POLY PL RM 9-325
Provider Second Line Business Practice Location Address:
DEPT OF VETERANS AFFAIRS NEW YORK HARBOR HEALTHCARE SYS
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11209-7104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-836-6600
Provider Business Practice Location Address Fax Number:
718-630-2863
Provider Enumeration Date:
06/10/2006