Provider First Line Business Practice Location Address:
753 CLASSON AVE
Provider Second Line Business Practice Location Address:
GASTROENTEROLOGIST
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11238-4647
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-636-1270
Provider Business Practice Location Address Fax Number:
374-892-2716
Provider Enumeration Date:
06/03/2008