Provider First Line Business Practice Location Address:
984 50TH ST
Provider Second Line Business Practice Location Address:
MAIMONIDES MEDICAL CENTER, DIVISION OF ENDOCRINOLOGY
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11219-3309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-283-5923
Provider Business Practice Location Address Fax Number:
718-635-7640
Provider Enumeration Date:
06/21/2007