Provider First Line Business Practice Location Address:
16TH STREET AND FIRST AVENUE
Provider Second Line Business Practice Location Address:
BETH ISRAEL MEDICAL CARDIAC CATH LAB FL 11 DAZIAN BLDG
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-420-2806
Provider Business Practice Location Address Fax Number:
212-420-2406
Provider Enumeration Date:
09/26/2008