Provider First Line Business Practice Location Address:
427 38TH ST
Provider Second Line Business Practice Location Address:
PS 24
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11232-2514
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-832-9366
Provider Business Practice Location Address Fax Number:
718-832-9366
Provider Enumeration Date:
03/13/2012