Provider First Line Business Practice Location Address:
245 EAST 50TH STREET
Provider Second Line Business Practice Location Address:
C/O ELK DENTAL ASSOCIATES
Provider Business Practice Location Address City Name:
NYC
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-593-1212
Provider Business Practice Location Address Fax Number:
212-832-3014
Provider Enumeration Date:
10/17/2006