Provider First Line Business Practice Location Address:
170 WILLIAM ST
Provider Second Line Business Practice Location Address:
NYP-LOWER MANHATTAN HOSPITAL
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10038-2612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-927-6536
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/14/2016