Provider First Line Business Practice Location Address:
121 DEKALB AVE
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:
11201-5425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-250-8525
Provider Business Practice Location Address Fax Number:
718-250-8467
Provider Enumeration Date:
06/04/2007