Provider First Line Business Practice Location Address:
450 PACIFIC ST
Provider Second Line Business Practice Location Address:
PS 38
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-330-1852
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2007