Provider First Line Business Practice Location Address:
1725 EAST 12TH ST. SUITE 202
Provider Second Line Business Practice Location Address:
PRIME QUALITY MEDICAL CARE, PC
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-265-5858
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/24/2013