Provider First Line Business Practice Location Address:
183RD STREET & 3RD AVENUE
Provider Second Line Business Practice Location Address:
ST. BARNABAS HOSPITAL
Provider Business Practice Location Address City Name:
BRONX
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:
718-960-6274
Provider Business Practice Location Address Fax Number:
718-960-9404
Provider Enumeration Date:
07/09/2006