Provider First Line Business Practice Location Address:
2401 AVENUE X
Provider Second Line Business Practice Location Address:
1ST FLOOR. MICHAEL HANAN MEDICAL P.C.
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11235-2516
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-975-0701
Provider Business Practice Location Address Fax Number:
718-975-0703
Provider Enumeration Date:
04/13/2006