Provider First Line Business Practice Location Address: 
RISE UP TOGETHER
    Provider Second Line Business Practice Location Address: 
3249 KINGSBRIDGE AVENUE
    Provider Business Practice Location Address City Name: 
BRONX
    Provider Business Practice Location Address State Name: 
NY
    Provider Business Practice Location Address Postal Code: 
10463
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
718-926-9975
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
10/24/2022