Provider First Line Business Practice Location Address:
1225 OCEAN PKWY
Provider Second Line Business Practice Location Address:
APT 4U
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11230-5154
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-252-2543
Provider Business Practice Location Address Fax Number:
360-251-2543
Provider Enumeration Date:
06/23/2010