Provider First Line Business Practice Location Address:
CONEY ISLAND HOSPITAL
Provider Second Line Business Practice Location Address:
2601 OCEAN PARKWAY
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-616-4083
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/30/2019