Provider First Line Business Practice Location Address:
4802 10TH AVE.
Provider Second Line Business Practice Location Address:
MAIMONIDES HOPSITAL
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-283-6000
Provider Business Practice Location Address Fax Number:
718-283-7436
Provider Enumeration Date:
11/08/2006