Provider First Line Business Practice Location Address:
BETH ISRAEL MEDICAL CENTER/KINGS HIGHWAY DIVISION
Provider Second Line Business Practice Location Address:
3201 KINGS HIGHWAY
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-951-3072
Provider Business Practice Location Address Fax Number:
718-951-3074
Provider Enumeration Date:
02/01/2006