Provider First Line Business Practice Location Address:
190 COZINE AVE GROUND FLOOR
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:
11207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-649-1398
Provider Business Practice Location Address Fax Number:
718-272-4688
Provider Enumeration Date:
04/27/2012