Provider First Line Business Practice Location Address:
111 EAST 210TH ST
Provider Second Line Business Practice Location Address:
ROSENTHAL 3 - PEDS HEME/ONC
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10467-2401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-741-2342
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/21/2012