Provider First Line Business Practice Location Address:
198 E 121ST ST, 5TH FLOOR
Provider Second Line Business Practice Location Address:
JANIAN MEDICAL
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10035-3523
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-575-9057
Provider Business Practice Location Address Fax Number:
646-335-0662
Provider Enumeration Date:
06/14/2007