Provider First Line Business Practice Location Address:
150 55 STREET
Provider Second Line Business Practice Location Address:
LUTHERAN MEDICAL CENTER DEPT OF ANESTHESIOLOGY
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-630-7452
Provider Business Practice Location Address Fax Number:
718-630-6399
Provider Enumeration Date:
01/06/2006