Provider First Line Business Practice Location Address:
232 METROPOLITAN AVE
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:
11211-4168
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-384-4444
Provider Business Practice Location Address Fax Number:
718-486-8417
Provider Enumeration Date:
06/13/2012