Provider First Line Business Practice Location Address:
LINCOLN HOSPITAL, CHILD ADOLESCENT PSYCHIATRIC SERVICES
Provider Second Line Business Practice Location Address:
234 EAST 149TH STREET, FLOOR 4A, ROOM 4-83
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:
718-579-5156
Provider Business Practice Location Address Fax Number:
718-578-5556
Provider Enumeration Date:
02/11/2020