Provider First Line Business Practice Location Address:
1331 E 19TH ST
Provider Second Line Business Practice Location Address:
NURSE MIDWIFERY ASSOC
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11230-6103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-375-9268
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/31/2005