Provider First Line Business Practice Location Address:
COLER GOLDWATER SPECIALTY HOSPITAL
Provider Second Line Business Practice Location Address:
1 MAIN STREET, ROOSEVELT ISLAND, E-3 NF OFFICE
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10044
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-318-8000
Provider Business Practice Location Address Fax Number:
212-318-4037
Provider Enumeration Date:
11/16/2007