Provider First Line Business Practice Location Address:
14 W 118TH ST
Provider Second Line Business Practice Location Address:
DUNLEVY MILBANK MEDICAL CLINIC
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10026-1904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-369-8339
Provider Business Practice Location Address Fax Number:
212-360-0030
Provider Enumeration Date:
11/17/2006