Provider First Line Business Practice Location Address:
NYU LANGONE LEVIT MEDICAL
Provider Second Line Business Practice Location Address:
1220 AVENUE P
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-759-6065
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/19/2006