Provider First Line Business Practice Location Address:
4487 3RD AVE
Provider Second Line Business Practice Location Address:
ST BARNABAS HOSPITAL, 2ND FLR. SPEECH & HEARING
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10457-1526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-960-6646
Provider Business Practice Location Address Fax Number:
718-960-9479
Provider Enumeration Date:
02/25/2010