Provider First Line Business Practice Location Address:
301 E 17TH ST FL 3
Provider Second Line Business Practice Location Address:
DEPARTMENT OF ANESTHESIOLOGY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003-3804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-420-2385
Provider Business Practice Location Address Fax Number:
212-420-2364
Provider Enumeration Date:
04/21/2009