Provider First Line Business Practice Location Address:
600 EAST 233RD ST.
Provider Second Line Business Practice Location Address:
OLMMC, DEPT. OF GI
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10466
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-920-9692
Provider Business Practice Location Address Fax Number:
718-920-6857
Provider Enumeration Date:
01/12/2007