Provider First Line Business Practice Location Address:
2015 GRAND CONCOURSE,
Provider Second Line Business Practice Location Address:
ESSEN MEDICAL
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10453-8648
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-731-2020
Provider Business Practice Location Address Fax Number:
718-294-6276
Provider Enumeration Date:
12/31/2012