Provider First Line Business Practice Location Address:
BROOKDALE HOSPITAL MEDICAL CENTER
Provider Second Line Business Practice Location Address:
101-01 AVENUE D
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-240-5132
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/16/2007