Provider First Line Business Practice Location Address:
1400 PELHAM PARKWAY
Provider Second Line Business Practice Location Address:
MEDICAL STAFF/DEPT OF EMERGENCY MEDICINE
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10761-1543
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-857-2773
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/10/2006