Provider First Line Business Practice Location Address:
1 GUSTAVE L LEVY PL
Provider Second Line Business Practice Location Address:
ANESTHESIOLOGY - BOX 1010
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10029-6504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-627-4470
Provider Business Practice Location Address Fax Number:
412-937-5767
Provider Enumeration Date:
12/13/2005