Provider First Line Business Practice Location Address:
148 JAVA ST
Provider Second Line Business Practice Location Address:
#2
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11222-1603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-389-3648
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/05/2007