Provider First Line Business Practice Location Address:
111 EAST 210TH STREET MONTEFIORE MEDICAL CENTER
Provider Second Line Business Practice Location Address:
ANXIETY & DEPRESSION PROGRAM (PSYCHIATRY)
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10467-2490
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-920-2840
Provider Business Practice Location Address Fax Number:
718-882-4735
Provider Enumeration Date:
06/24/2010