Provider First Line Business Practice Location Address:
1250 WATERS PL. MONTEFIORE MEDICAL CENTER
Provider Second Line Business Practice Location Address:
DEPARTMENT OF ORTHOPAEDIC SURGERY, 11TH FL
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10461
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-577-4565
Provider Business Practice Location Address Fax Number:
347-577-4442
Provider Enumeration Date:
09/09/2010