NPI #
1963 Grand Concourse , 2Nd Floor
Bronx, NY, 10453-4994
196049
NY
Ambulatory Health Care Facilities
Clinic/Center
Health Service
261QH0100X
1963 Grand Concourse, Suite B
1963 Grand Concourse
1963 Grand Concourse Ste Ll
2021 Grandconcourse Ave
Bronx, NY, 10469
2021 Grand Concourse
Bronx, NY, 10453-4304