Provider First Line Business Practice Location Address:
4234 BRONX BOULEVARD, 1ST FLOOR
Provider Second Line Business Practice Location Address:
PEDIATRICS CLINIC
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:
347-341-4300
Provider Business Practice Location Address Fax Number:
347-341-4304
Provider Enumeration Date:
06/27/2007