Provider First Line Business Practice Location Address:
200 E GUN HILL RD
Provider Second Line Business Practice Location Address:
MONTIFIORE MED. CNTR-ADVANCED IMAGING (GHMRI)
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10467-2159
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-798-5449
Provider Business Practice Location Address Fax Number:
718-798-5376
Provider Enumeration Date:
01/20/2007