Provider First Line Business Practice Location Address:
450 CLARKSON AVE BOX 30
Provider Second Line Business Practice Location Address:
DEPTT OF ORTHOPEDICS, SUNY DOWN STATE MEDICAL CENTER
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11203-2012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-270-2179
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/31/2007