Provider First Line Business Practice Location Address:
150 55TH ST
Provider Second Line Business Practice Location Address:
DEPARTMENT OF REHABILITATION SERVICES
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11220-2559
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-630-6000
Provider Business Practice Location Address Fax Number:
718-630-6025
Provider Enumeration Date:
11/22/2006