Provider First Line Business Practice Location Address:
1250 WATERS PLACE, 11TH FLOOR
Provider Second Line Business Practice Location Address:
MMC - ORTHOPEDIC 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:
347-577-4599
Provider Business Practice Location Address Fax Number:
347-577-4473
Provider Enumeration Date:
10/26/2006