Provider First Line Business Practice Location Address:
11 E 86TH ST
Provider Second Line Business Practice Location Address:
PEDIATRICS OF NEW YORK
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10028-0501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-627-7334
Provider Business Practice Location Address Fax Number:
646-627-7334
Provider Enumeration Date:
09/01/2016