Provider First Line Business Practice Location Address:
585 SCHENECTADY AVE
Provider Second Line Business Practice Location Address:
KINGSBROOK JEWISH MEDICAL CENTER, ED
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11203-1809
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-746-8130
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/07/2008