Provider First Line Business Practice Location Address:
760 BROADWAY WOODHULL MEDICAL & MENTAL HEALTH CENTER,
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PEDIATRICS ROOM 2B-321
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-963-8214
Provider Business Practice Location Address Fax Number:
718-630-3114
Provider Enumeration Date:
05/27/2014