Provider First Line Business Practice Location Address:
600 EAST 233RD ST
Provider Second Line Business Practice Location Address:
MONTEFIORE MEDICAL CENTER, NORTH DIVISION, 7-SOUTH
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10466
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-920-9427
Provider Business Practice Location Address Fax Number:
718-920-9217
Provider Enumeration Date:
09/05/2008