Provider First Line Business Practice Location Address:
55 EIGHTH AVE
Provider Second Line Business Practice Location Address:
ALBERT LANDA PT PC
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-789-7878
Provider Business Practice Location Address Fax Number:
718-789-3749
Provider Enumeration Date:
07/12/2005