Provider First Line Business Practice Location Address:
620 COLUMBUS AVE.
Provider Second Line Business Practice Location Address:
2ND FLOOR ENT AND ALLERGY ASSOCIATES LLP,
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-600-9411
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/14/2005