Provider First Line Business Practice Location Address:
531A 6TH AVE
Provider Second Line Business Practice Location Address:
PARLOR FLOOR
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11215-4908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-531-2320
Provider Business Practice Location Address Fax Number:
718-768-8161
Provider Enumeration Date:
08/31/2006