Provider First Line Business Practice Location Address:
NEW YORK MEDICAL COLLEGE
Provider Second Line Business Practice Location Address:
MUNGER PAVILLION, ROOM 110
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10595
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-493-7997
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/27/2007