Provider First Line Business Practice Location Address:
535 E 70TH ST
Provider Second Line Business Practice Location Address:
STE. 853W, HSS DEPT. OF ANESTHESIOLOGY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10021-4823
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-606-1036
Provider Business Practice Location Address Fax Number:
212-517-4481
Provider Enumeration Date:
08/14/2006