Provider First Line Business Practice Location Address:
550 1ST AVE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF SURGERY, NEW BELLEVUE 15 NORTH 1
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-6402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-263-2225
Provider Business Practice Location Address Fax Number:
212-263-8216
Provider Enumeration Date:
01/20/2009