Provider First Line Business Practice Location Address:
CENTER FOR SKELETAL DYSPLASIAS -- HSS
Provider Second Line Business Practice Location Address:
535 EAST 70 STREET
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10021-4898
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-774-7992
Provider Business Practice Location Address Fax Number:
212-774-7827
Provider Enumeration Date:
10/17/2005