Provider First Line Business Practice Location Address:
350 5TH AVE 59TH FLOOR
Provider Second Line Business Practice Location Address:
NEW YORK PHYSICIAN PLLC
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-970-3777
Provider Business Practice Location Address Fax Number:
888-970-3777
Provider Enumeration Date:
11/01/2006