Provider First Line Business Practice Location Address:
506 LENOX AVE
Provider Second Line Business Practice Location Address:
HARLEM HOSPITAL CENTER
Provider Business Practice Location Address City Name:
NY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10037-1802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-939-3965
Provider Business Practice Location Address Fax Number:
212-939-2068
Provider Enumeration Date:
02/20/2008