Provider First Line Business Practice Location Address:
36 E 22ND ST APT 8A
Provider Second Line Business Practice Location Address:
PHYSICIAN BILLING
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10010-6124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-475-0438
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/30/2006