Provider First Line Business Practice Location Address:
SAINT VINCENT'S HOSPITAL MANHATTAN
Provider Second Line Business Practice Location Address:
170 WEST 12TH STREET
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-604-7867
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2007