Provider First Line Business Practice Location Address:
1545 ATLANTIC AVENUE
Provider Second Line Business Practice Location Address:
INTERFAITH MEDICAL CENTER,
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-615-1165
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/28/2012