Provider First Line Business Practice Location Address:
3400 BAINBRIDGE AVENUE, 4TH FLOOR
Provider Second Line Business Practice Location Address:
MONTEFIORE MEDICAL CENTER, DEPT. OF SURGERY
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:
718-920-5411
Provider Business Practice Location Address Fax Number:
718-881-5074
Provider Enumeration Date:
04/10/2013