Provider First Line Business Practice Location Address:
506 6TH STREET
Provider Second Line Business Practice Location Address:
KP-2 DIVISION OF CARDIOLOGY
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11215-3609
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-780-5300
Provider Business Practice Location Address Fax Number:
718-780-5350
Provider Enumeration Date:
05/28/2013