Provider First Line Business Practice Location Address:
LINDEN BLVD AND BROOKDALE PLAZA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-240-5321
Provider Business Practice Location Address Fax Number:
718-240-5424
Provider Enumeration Date:
02/08/2007