Provider First Line Business Practice Location Address:
1901 FIRST AVENUE ROOM 523
Provider Second Line Business Practice Location Address:
METROPOLITAN HOSPITAL CENTER - DEPARTMENT OF PEDIATRICS
Provider Business Practice Location Address City Name:
NEW YORK
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:
212-423-7834
Provider Business Practice Location Address Fax Number:
212-534-7831
Provider Enumeration Date:
06/22/2021