Provider First Line Business Practice Location Address:
1200 WATERS PL
Provider Second Line Business Practice Location Address:
ACUTE CARE - SOCIAL WORK
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10461-2728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-536-3700
Provider Business Practice Location Address Fax Number:
718-319-7083
Provider Enumeration Date:
12/13/2006