Provider First Line Business Practice Location Address:
550 1ST AVE
Provider Second Line Business Practice Location Address:
NYU SCHOOL OF MEDICINE, DEPT. OF PEDIATRICS NBV 8S 4-11
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-6402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-562-6342
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2007