Provider First Line Business Practice Location Address:
111 EAST 210TH STREET
Provider Second Line Business Practice Location Address:
MONTEFIORE HOSPITAL - TRANSPLANT OFFICE RC
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10467-2554
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-920-4459
Provider Business Practice Location Address Fax Number:
718-547-4773
Provider Enumeration Date:
10/05/2006