Provider First Line Business Practice Location Address:
450 CLARKSON AVE # 30
Provider Second Line Business Practice Location Address:
DEPARTMENT OF ORTHOPEDIC SURGERY AND REHABILITATION MED
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11203-2056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-613-8653
Provider Business Practice Location Address Fax Number:
718-270-7197
Provider Enumeration Date:
12/29/2006