Provider First Line Business Practice Location Address:
MOUNT SINAI HOSPITAL
Provider Second Line Business Practice Location Address:
1468 MADISON AVENUE, DEPT NEUROLOGY, ANNENBERG 2ND FL.
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-241-5050
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/30/2017