Provider First Line Business Practice Location Address:
800 POLY PLACE (116B)
Provider Second Line Business Practice Location Address:
NEW YORK HARBOR HEALTHCARE SYSTEM, BROOKLYN CAMPUS
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-836-6600
Provider Business Practice Location Address Fax Number:
718-630-2935
Provider Enumeration Date:
02/15/2011