Provider First Line Business Practice Location Address:
111 E. 210TH ST. DEPT OF SURGICAL PATHOLOGY
Provider Second Line Business Practice Location Address:
ROOM 063
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10467
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-920-6040
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/03/2008