Provider First Line Business Practice Location Address:
4234 BRONX BLVD
Provider Second Line Business Practice Location Address:
PEDIATRICS CLINIC, MONTEFIORE NORTH DIVISION
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10466-1515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-341-4303
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/12/2007