Provider First Line Business Practice Location Address:
KINGS COUNTY HOSPITAL CENTER 451 CLARKSON AVENUE
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:
11203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
171-824-5537
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2006