Provider First Line Business Practice Location Address:
234 E 149TH STREET LINCOLN HOSPITAL
Provider Second Line Business Practice Location Address:
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:
718-579-4657
Provider Business Practice Location Address Fax Number:
718-579-4744
Provider Enumeration Date:
03/23/2014