Provider First Line Business Practice Location Address:
1276 FULTON AVE. BRONX LEBANON HOSPITAL
Provider Second Line Business Practice Location Address:
DEPT. OF PSYCHIATRY, 1276 FULTON AVE
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10456
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-466-6020
Provider Business Practice Location Address Fax Number:
718-466-6060
Provider Enumeration Date:
02/20/2007