Provider First Line Business Practice Location Address:
ONE GUSTAVE L. LEVY PLACE - GP 6 CENTER RM 272
Provider Second Line Business Practice Location Address:
MOUNT SINAI MEDICAL CENTER
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:
212-241-6911
Provider Business Practice Location Address Fax Number:
212-426-6962
Provider Enumeration Date:
02/07/2013