Provider First Line Business Practice Location Address:
259 BRISTOL ST NYCDOHMH BROWNSVILLE DHC
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11212-5540
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-495-7284
Provider Business Practice Location Address Fax Number:
212-495-7245
Provider Enumeration Date:
05/25/2006