Provider First Line Business Practice Location Address:
3750 BAYCHESTER AVE
Provider Second Line Business Practice Location Address:
MONTEFIORE SCHOOL HEALTH PROGRAM
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10466-5036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-654-5209
Provider Business Practice Location Address Fax Number:
718-654-9434
Provider Enumeration Date:
02/23/2009