Provider First Line Business Practice Location Address:
SOUTH BRONX HEALTH CENTER
Provider Second Line Business Practice Location Address:
871 PROSPECT AVENUE
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10459
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-991-0605
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2006