Provider First Line Business Practice Location Address:
130 WEST 12TH STREET, 6J
Provider Second Line Business Practice Location Address:
ST. VINCENT CATHOLIC MEDICAL C
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-604-7403
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/09/2007