Provider First Line Business Practice Location Address:
234 E 149TH ST FL 5
Provider Second Line Business Practice Location Address:
LINCOLN MEDICAL AND MENTAL HEALTH CENTER, DEPT. OBGYN
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10451-5504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-579-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/19/2015