Provider First Line Business Practice Location Address:
506 SIXTH STREET
Provider Second Line Business Practice Location Address:
NY METHODIST - PATHOLOGY DEPT. - CARRINGTON FLOOR 2
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-780-3634
Provider Business Practice Location Address Fax Number:
718-780-3673
Provider Enumeration Date:
09/05/2006