Provider First Line Business Practice Location Address:
566 FIRST AVENUE
Provider Second Line Business Practice Location Address:
NYU LANGONE MEDICAL CENTER DEPARTMENT OF RADIATION ONCO
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:
212-263-5055
Provider Business Practice Location Address Fax Number:
212-263-3716
Provider Enumeration Date:
09/12/2005