Provider First Line Business Practice Location Address:
100 N PORTLAND AVE
Provider Second Line Business Practice Location Address:
CUMBERLAND DIAG & TREAT CENTER
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-260-7760
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/03/2006