Provider First Line Business Practice Location Address:
151 MAUJER STREET
Provider Second Line Business Practice Location Address:
NYCDOHMH WILLIAMSBURG DHC
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-782-5725
Provider Business Practice Location Address Fax Number:
718-388-8644
Provider Enumeration Date:
05/26/2006