Provider First Line Business Practice Location Address:
NEW YORK UNIVERSITY HOSPITALS CENTER 555 FIRST AVE.
Provider Second Line Business Practice Location Address:
TISCH 1626
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-6497
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-263-3250
Provider Business Practice Location Address Fax Number:
212-263-3882
Provider Enumeration Date:
10/04/2006