Provider First Line Business Practice Location Address:
760 BROADWAY.
Provider Second Line Business Practice Location Address:
WOODHULL. MEDICAL AND MENTAL HEALTH CENTER
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-963-8000
Provider Business Practice Location Address Fax Number:
718-238-1372
Provider Enumeration Date:
12/19/2005