Provider First Line Business Practice Location Address:
451 CLARKSON AVENUE
Provider Second Line Business Practice Location Address:
NYC HEALTH AND HOSPITALS CORP. KINGS COUNTY HOSP.CENTER
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:
718-245-4403
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2007