Provider First Line Business Practice Location Address:
1276 FULTON AVENUE, BRONXCARE HEALTH SYSTEM-FULTON DIVI
Provider Second Line Business Practice Location Address:
PSYCHIATRY RESIDENCY, 5TH FLOOR
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10456
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-590-1800
Provider Business Practice Location Address Fax Number:
718-901-8656
Provider Enumeration Date:
05/24/2019