Provider First Line Business Practice Location Address:
4802 TENTH AVENUE
Provider Second Line Business Practice Location Address:
MALMONIDES HOSPITAL DEPARTMENT OF MEDICINE
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-283-7071
Provider Business Practice Location Address Fax Number:
718-635-6417
Provider Enumeration Date:
05/02/2006