Provider First Line Business Practice Location Address:
410 WINTHROP STREET
Provider Second Line Business Practice Location Address:
KINGS COUNTY HOSPITAL CTR, BEHAVIORAL HEALTH 'R' BLDG
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:
718-245-8807
Provider Business Practice Location Address Fax Number:
718-245-2416
Provider Enumeration Date:
05/03/2007