Provider First Line Business Practice Location Address:
804 E 138TH STREET
Provider Second Line Business Practice Location Address:
ALBERT EINSTEIN COLLEGE OF MEDICINE
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10454
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-665-7500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/18/2007