Provider First Line Business Practice Location Address:
4805 FORT HAMILTON PKWY
Provider Second Line Business Practice Location Address:
DEPARTMENT OF RADIOLOGY
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11219-2937
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-283-7199
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/20/2007