Provider First Line Business Practice Location Address:
4234 BRONX BOULEVARD
Provider Second Line Business Practice Location Address:
NORTH AMBULATORY CARE CENTER, DEPT OF PEDIATRICS
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10466-7537
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-341-4300
Provider Business Practice Location Address Fax Number:
347-341-4304
Provider Enumeration Date:
04/17/2006