Provider First Line Business Practice Location Address:
DOWNSTATE MEDICAL CENTER 450 CLARKSON AVENUE
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:
11203-0049
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-270-2078
Provider Business Practice Location Address Fax Number:
718-613-8677
Provider Enumeration Date:
04/01/2022