Provider First Line Business Practice Location Address:
175 LAWRENCE AVE.
Provider Second Line Business Practice Location Address:
UNITED CEREBRAL PALSY OF BROOKLYN
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-436-7979
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/22/2010