Provider First Line Business Practice Location Address:
ONE GUSTAVE L LEVY PLACE
Provider Second Line Business Practice Location Address:
ST LUKE ROOSEVELT HOSPITAL CENTER
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10029-1002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-241-8154
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/10/2017