Provider First Line Business Practice Location Address:
760 BROADWAY WOODHULL HOSPITAL CENTER
Provider Second Line Business Practice Location Address:
DEPARTMENT OF AMBULATORY CARE ROOM #2AB-235
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-724-2421
Provider Business Practice Location Address Fax Number:
718-630-3122
Provider Enumeration Date:
11/22/2006