Provider First Line Business Practice Location Address:
PLAZA DEL CASTILLO HEALTH CENTER
Provider Second Line Business Practice Location Address:
1515 SOUTHERN BOULEVARD
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10460
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-589-2440
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/27/2005