Provider First Line Business Practice Location Address:
450 CLARKSON AVENUE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF NEUROLOGY
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-270-2768
Provider Business Practice Location Address Fax Number:
718-270-3840
Provider Enumeration Date:
02/06/2006