Provider First Line Business Practice Location Address:
550 FIRST AVENUE
Provider Second Line Business Practice Location Address:
NYU LANGONE 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:
10016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-263-5506
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/04/2010