Provider First Line Business Practice Location Address:
506 LENOX AVE MLK BUILDING 17TH FLOOR ROOM 770
Provider Second Line Business Practice Location Address:
NYCHHC HARLEM HOSPITAL DEPARTMENT OF PEDIATRICS
Provider Business Practice Location Address City Name:
NEW YORK CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10037
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-939-4019
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/21/2023