Provider First Line Business Practice Location Address:
540 ATLANTIC AVENUE 2ND FLOOR
Provider Second Line Business Practice Location Address:
DAY HABILITATION SERVICES
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11217-1024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-943-4247
Provider Business Practice Location Address Fax Number:
718-596-4589
Provider Enumeration Date:
11/28/2006