Provider First Line Business Practice Location Address:
234 E. 149TH ST., DEPARTMENT OF MEDICINE
Provider Second Line Business Practice Location Address:
8TH FLOOR, ROOM 8-30
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10451
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-539-4272
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/29/2023