Provider First Line Business Practice Location Address:
177 FT WASHINGTON AVE
Provider Second Line Business Practice Location Address:
MILSTEIN HOSPITAL FHN ROOM 102 COLUMBIA PRES MEDICAL CE
Provider Business Practice Location Address City Name:
NY
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:
212-342-6884
Provider Business Practice Location Address Fax Number:
212-305-7178
Provider Enumeration Date:
07/25/2007