Provider First Line Business Practice Location Address:
538 E 24TH ST
Provider Second Line Business Practice Location Address:
538 EAST 24TH STREET
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11210-1130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-528-5558
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/29/2012