Provider First Line Business Practice Location Address:
4451 THIRD AVENUE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF NEUROSURGERY
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10457
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
551-482-9117
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/16/2025