Provider First Line Business Practice Location Address:
2212 STRANG AVE.
Provider Second Line Business Practice Location Address:
#BASEMENT
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10466
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-673-1747
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/10/2017