Provider First Line Business Practice Location Address:
MOUNT SINAI MEDICAL CENTER, 1 GUSTAVE L. LEVY PL.
Provider Second Line Business Practice Location Address:
BOX 1045
Provider Business Practice Location Address City Name:
NYC
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-242-7863
Provider Business Practice Location Address Fax Number:
212-348-6364
Provider Enumeration Date:
01/31/2007