Provider First Line Business Practice Location Address:
BOX 37
Provider Second Line Business Practice Location Address:
450 CLARKSON AVE UNIVERSITY HOSPITAL OF BROOKLYN
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-270-4522
Provider Business Practice Location Address Fax Number:
718-270-4524
Provider Enumeration Date:
01/11/2006