Provider First Line Business Practice Location Address:
4422 3RD AVENUE
Provider Second Line Business Practice Location Address:
ST BARNABAS HOSPITAL
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10468-4709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-417-6927
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2017