Provider First Line Business Practice Location Address:
2420 KNAPP 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:
11235-1006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-826-3349
Provider Business Practice Location Address Fax Number:
888-826-3349
Provider Enumeration Date:
08/06/2013