Provider First Line Business Practice Location Address:
7608 18TH AVE
Provider Second Line Business Practice Location Address:
HEALTH SUPPORT MEDICAL SUPPLY INC
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-621-6090
Provider Business Practice Location Address Fax Number:
718-621-6092
Provider Enumeration Date:
12/08/2005