Provider First Line Business Practice Location Address:
610 W 158TH ST
Provider Second Line Business Practice Location Address:
FARRELL FAMILY MEDICINE CLINIC - NEW YORK-PRESBYTERIAN
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10032-7104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-463-2778
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/30/2010