Provider First Line Business Practice Location Address:
234 EAST 149TH STREET-SUITE 8-20, BRONX, NY 10451 LINCO
Provider Second Line Business Practice Location Address:
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:
718-579-5874
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/30/2026