Provider First Line Business Practice Location Address:
2545 UNIVERSITY AVE
Provider Second Line Business Practice Location Address:
ATTN H.A.P.I.
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10468-4066
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-329-8389
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/15/2007