Provider First Line Business Practice Location Address:
LINCOLN MEDICAL & MENTAL HEALTH CENTER
Provider Second Line Business Practice Location Address:
234 E. 149TH ST.
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10451
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-579-5657
Provider Business Practice Location Address Fax Number:
718-579-5310
Provider Enumeration Date:
01/19/2007