Provider First Line Business Practice Location Address:
600 EAST 233RD STREET
Provider Second Line Business Practice Location Address:
MONTEFIORE MEDICAL CENTER NORTH DIVISION
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10466-2697
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-920-9880
Provider Business Practice Location Address Fax Number:
718-920-9036
Provider Enumeration Date:
04/26/2012