Provider First Line Business Practice Location Address:
447 ATLANTIC AVE
Provider Second Line Business Practice Location Address:
GASTROENTEROLOGY UNIT
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11217-1702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-680-1800
Provider Business Practice Location Address Fax Number:
718-797-8431
Provider Enumeration Date:
04/26/2006