Provider First Line Business Practice Location Address:
1100 CONEY ISLAND AVE.
Provider Second Line Business Practice Location Address:
STEP UP THERAPY BROOKLYN NY 4TH FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-434-1200
Provider Business Practice Location Address Fax Number:
718-434-1099
Provider Enumeration Date:
11/07/2012