Provider First Line Business Practice Location Address:
111 EAST 210TH ST. MONTEFIORE MEDICAL CENTER
Provider Second Line Business Practice Location Address:
PULMONARY DIVISION CENT 3, DEPT. 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:
10467
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-920-2105
Provider Business Practice Location Address Fax Number:
718-652-8384
Provider Enumeration Date:
06/04/2007