Provider First Line Business Practice Location Address:
455 1ST AVE
Provider Second Line Business Practice Location Address:
NYCDDH BUREAU OF LABORATORIES
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-9102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-442-8468
Provider Business Practice Location Address Fax Number:
212-442-8452
Provider Enumeration Date:
06/20/2006