Provider First Line Business Practice Location Address:
150 - 55TH STREET
Provider Second Line Business Practice Location Address:
SCHOOL HEALTH
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-210-5264
Provider Business Practice Location Address Fax Number:
718-492-5090
Provider Enumeration Date:
01/17/2009