Provider First Line Business Practice Location Address:
55 PALMER AVENUE
Provider Second Line Business Practice Location Address:
LAWRENCE HOSPITAL, CCU
Provider Business Practice Location Address City Name:
BRONXVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10708-1242
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-787-3970
Provider Business Practice Location Address Fax Number:
914-787-3960
Provider Enumeration Date:
08/31/2006