Provider First Line Business Practice Location Address:
1ST AVE, 16TH STREET
Provider Second Line Business Practice Location Address:
RADIOLOGY DEPARTMENT, INTERVENTIONAL DIVISION
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-420-2546
Provider Business Practice Location Address Fax Number:
212-420-2557
Provider Enumeration Date:
08/29/2006