Provider First Line Business Practice Location Address:
182 8TH AVE
Provider Second Line Business Practice Location Address:
C/O BROOKLYN ACUPUNCTURE NOOK
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11215-2280
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-673-9226
Provider Business Practice Location Address Fax Number:
347-396-3179
Provider Enumeration Date:
01/29/2014