Provider First Line Business Practice Location Address:
1279 50TH ST
Provider Second Line Business Practice Location Address:
3RD FLOOR SONDRA GROSS LCSW
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:
718-871-4134
Provider Business Practice Location Address Fax Number:
212-721-2755
Provider Enumeration Date:
04/17/2007