Provider First Line Business Practice Location Address:
234 E 149TH STREET
Provider Second Line Business Practice Location Address:
LINCOLN MEDICAL CENTER, DEPARTMENT OF INTERNAL MEDICINE
Provider Business Practice Location Address City Name:
BRONX, NEW YORK CITY
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:
718-579-4719
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/26/2021