Provider First Line Business Practice Location Address:
4802 TENTH AVE.
Provider Second Line Business Practice Location Address:
MAIMONIDES MEDICAL CENTER, DEPARTMENT OF RADIOLOGY
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-887-3585
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/14/2016