Provider First Line Business Practice Location Address:
OLMMC, DEPT. OF PSYCHIATRY
Provider Second Line Business Practice Location Address:
600 EAST 233RD ST.
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10466
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-920-9826
Provider Business Practice Location Address Fax Number:
718-920-9217
Provider Enumeration Date:
01/30/2007