Provider First Line Business Practice Location Address:
DEPARTMENT OF DENTISTRY; ST BARNABAS HOSPITAL
Provider Second Line Business Practice Location Address:
4422 THIRD AVENUE;
Provider Business Practice Location Address City Name:
THE BRONX, NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10457
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-960-9413
Provider Business Practice Location Address Fax Number:
718-960-3663
Provider Enumeration Date:
03/02/2006