Provider First Line Business Practice Location Address:
3424 KOSSUTH AVE NYC HEALTH HOSPITALS NORTH CENTRAL B
Provider Second Line Business Practice Location Address:
ROOM 10C-02
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:
718-918-5006
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/18/2022