Provider First Line Business Practice Location Address:
635 W 165TH STREET
Provider Second Line Business Practice Location Address:
EDWARD S. HARKNESS EYE INSTITUTE - COLUMBIA UNIVERSITY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10032-8703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-229-1887
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2022