Provider First Line Business Practice Location Address:
255 EAST 98TH STREET
Provider Second Line Business Practice Location Address:
BROWNSVILLE CDC
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:
718-881-1524
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/07/2017