Provider First Line Business Practice Location Address:
360 EAST 193 RD STREET
Provider Second Line Business Practice Location Address:
MONTEFIORE FAMILY HEALTH CENTER
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10458
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-933-2400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/16/2011