Provider First Line Business Practice Location Address:
70 W BURNSIDE
Provider Second Line Business Practice Location Address:
MORRIS HEIGHTS HEALTH CENTER
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10453
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-716-2229
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/22/2009