Provider First Line Business Practice Location Address:
ONE BROOKDALE PLAZA, BROOKDALE HOSPITAL, RADIOLOGY
Provider Second Line Business Practice Location Address:
ROOM #309
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11212-3198
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-240-5425
Provider Business Practice Location Address Fax Number:
718-240-6620
Provider Enumeration Date:
09/26/2006