Provider First Line Business Practice Location Address:
MMC - DEPT. OF RADIOLOGY
Provider Second Line Business Practice Location Address:
111 EAST 210TH STREET
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10467
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-920-4640
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/02/2006