Provider First Line Business Practice Location Address:
1 GUSTAVE L LEVY PLACE
Provider Second Line Business Practice Location Address:
BOX # 1252- MOUNT SINAI HOSPITAL
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10029-6574
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-241-6800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/27/2007