Provider First Line Business Practice Location Address:
600 EAST 233 STREET
Provider Second Line Business Practice Location Address:
GENERAL SURGERY, 4TH FLOOR
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10466
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-628-2682
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/25/2020