Provider First Line Business Practice Location Address:
585 SCHENCTADY AVE
Provider Second Line Business Practice Location Address:
KINGSBROOK JEWISH MEDICAL CENTER, DENTAL DEPT
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:
718-604-5381
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/27/2019