Provider First Line Business Practice Location Address:
NORTH CENTRAL BRONX HOSPITAL
Provider Second Line Business Practice Location Address:
3424 KOSSUTH AVE. 10A SPECIAL CARE
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10467
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-519-4884
Provider Business Practice Location Address Fax Number:
718-519-5077
Provider Enumeration Date:
02/15/2007