Provider First Line Business Practice Location Address:
324 EAST 23 STREET
Provider Second Line Business Practice Location Address:
NYU HJD AMBULATORY CLINIC
Provider Business Practice Location Address City Name:
NY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-754-1409
Provider Business Practice Location Address Fax Number:
212-598-6666
Provider Enumeration Date:
12/06/2010