Provider First Line Business Practice Location Address:
14-16 HEYWARD ST.
Provider Second Line Business Practice Location Address:
ODA PRIMARY HEALTH CARE CENTER, INC.
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-260-4600
Provider Business Practice Location Address Fax Number:
718-852-0867
Provider Enumeration Date:
10/07/2008