Provider First Line Business Practice Location Address:
3201 KINGHS HIGHWAY
Provider Second Line Business Practice Location Address:
KINGHS HIGHWAY DIVISION BETH ISRAEL MEDICAL CENTER
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-951-2901
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/23/2008