Provider First Line Business Practice Location Address:
4801- 10TH AVENUE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF MEDICINE
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11219-2801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-283-6000
Provider Business Practice Location Address Fax Number:
718-283-8498
Provider Enumeration Date:
08/15/2006