Provider First Line Business Practice Location Address:
550 FIRST AVE., NBV 15 NORTH 1
Provider Second Line Business Practice Location Address:
NYU MEDICAL 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:
10016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-263-5777
Provider Business Practice Location Address Fax Number:
212-263-8216
Provider Enumeration Date:
12/18/2006