Provider First Line Business Practice Location Address:
300 SKILLMAN AVE
Provider Second Line Business Practice Location Address:
LUTHERAN FAMILY HLTH CTR. - COMMUNITY MEDICINE PROGRAM
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11211-1607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-302-7333
Provider Business Practice Location Address Fax Number:
718-963-4016
Provider Enumeration Date:
09/06/2006