Provider First Line Business Practice Location Address:
MOUNT SINAI HOSPITAL QUEENS
Provider Second Line Business Practice Location Address:
2510 30TH AVENUE
Provider Business Practice Location Address City Name:
LONG ISLAND CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-421-8033
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/04/2019