Provider First Line Business Practice Location Address:
1235 LINDEN BOULEVARD
Provider Second Line Business Practice Location Address:
BRISTOL FAMILY CARE CENTER
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-240-5071
Provider Business Practice Location Address Fax Number:
718-240-5808
Provider Enumeration Date:
04/03/2013