Provider First Line Business Practice Location Address:
ST. BARNASAS HOSPITAL
Provider Second Line Business Practice Location Address:
4422 THIRD AVENUE MILLS BUILDING 4TH FLOOR RM 406
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10457-2594
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-960-6635
Provider Business Practice Location Address Fax Number:
718-960-9418
Provider Enumeration Date:
05/15/2024