Provider First Line Business Practice Location Address:
55 GREENE AVENUE, LLB
Provider Second Line Business Practice Location Address:
C/O SUNRISE MEDICAL GROUP
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11238-6432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-789-5900
Provider Business Practice Location Address Fax Number:
718-233-3318
Provider Enumeration Date:
03/05/2012