Provider First Line Business Practice Location Address:
622 W 168TH STREET
Provider Second Line Business Practice Location Address:
CENTER FOR LIVER DISEASE AND TRANSPLANTATION PH-14
Provider Business Practice Location Address City Name:
NY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-305-8941
Provider Business Practice Location Address Fax Number:
212-305-4343
Provider Enumeration Date:
06/07/2006