Provider First Line Business Practice Location Address:
LINCOLN MEDICAL AND MENTAL HEALTH CENTER
Provider Second Line Business Practice Location Address:
234 E 149 STREET
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10451
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-579-5717
Provider Business Practice Location Address Fax Number:
212-939-2759
Provider Enumeration Date:
07/30/2006