Provider First Line Business Practice Location Address:
19 BRADHURST AVENUE, SUITE 500S
Provider Second Line Business Practice Location Address:
UNIVERSITY ORTHOPAEDICS, PC
Provider Business Practice Location Address City Name:
HAWTHORNE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10532-2140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-345-0825
Provider Business Practice Location Address Fax Number:
914-592-1809
Provider Enumeration Date:
10/01/2009