Provider First Line Business Practice Location Address:
260 E 188TH STREET , ST. BARNABAS HOSPITAL
Provider Second Line Business Practice Location Address:
1ST FLOOR , DIVISION OF ORTHODONTICS
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10458
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-618-8935
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/18/2019