Provider First Line Business Practice Location Address:
179 N 6TH ST
Provider Second Line Business Practice Location Address:
3RD FLOOR, STREET TO HOME
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11211-3207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-360-8034
Provider Business Practice Location Address Fax Number:
718-360-8005
Provider Enumeration Date:
12/19/2007