Provider First Line Business Practice Location Address:
88 VISITATION PLACE
Provider Second Line Business Practice Location Address:
RED HOOK COMMUNTIY JUSTICE CENTER
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11231
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-722-0543
Provider Business Practice Location Address Fax Number:
718-923-8248
Provider Enumeration Date:
10/26/2006