Provider First Line Business Practice Location Address:
99 FORTWASHINGTON AVE #1ST FLOOR
Provider Second Line Business Practice Location Address:
NYPH AMBULATORY CARE
Provider Business Practice Location Address City Name:
NEW YORK
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:
212-342-0212
Provider Business Practice Location Address Fax Number:
212-305-0212
Provider Enumeration Date:
09/24/2008