Provider First Line Business Practice Location Address:
130 EAST 77TH STREET 11TH FLOOR
Provider Second Line Business Practice Location Address:
DEPARTMENT OF ORTHOPAEDIC SURGERY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10075
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-460-6151
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/05/2008