Provider First Line Business Practice Location Address:
506 6TH STREET, NEW YORK METHODIST HOSPITAL
Provider Second Line Business Practice Location Address:
DIVISION OF DENTAL MEDICINE
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-780-5410
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/28/2015