Provider First Line Business Practice Location Address:
1400 PELHAM PKWY S
Provider Second Line Business Practice Location Address:
JACOBI HOSP. - SOCIAL WORK DEPT.
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10461-1138
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-918-5387
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/05/2009