Provider First Line Business Practice Location Address: 
2425 W 3RD ST
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
BROOKLYN
    Provider Business Practice Location Address State Name: 
NY
    Provider Business Practice Location Address Postal Code: 
11223-5932
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
718-666-8874
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
08/07/2012