Provider First Line Business Practice Location Address:
3400 CANNON PLACE
Provider Second Line Business Practice Location Address:
REHAB DEPARTMENT
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10463-1046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-796-8100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/16/2019