Provider First Line Business Practice Location Address:
1111 AMSTERDAM AVE
Provider Second Line Business Practice Location Address:
S&R 3-CARDIOLOGY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10025-1716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-523-4008
Provider Business Practice Location Address Fax Number:
212-523-3915
Provider Enumeration Date:
12/05/2006