Provider First Line Business Practice Location Address:
MOUNT SINAI MEDICAL CENTER - DEPT OF PSYCH
Provider Second Line Business Practice Location Address:
1 GUSTAVE LEVY PLACE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-241-5420
Provider Business Practice Location Address Fax Number:
212-831-2871
Provider Enumeration Date:
03/27/2007