Provider First Line Business Mailing Address:
635 W. 165TH STREET, BOX 92
Provider Second Line Business Mailing Address:
DEPARTMENT OF OPHTHALMOLOGY
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10032
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-305-9734
Provider Business Mailing Address Fax Number:
212-342-5450