Provider First Line Business Practice Location Address:
SUNY DOWNSTATE 450 CLARKSON AVENUE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF SURGERY
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-275-4350
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/14/2016