Provider First Line Business Practice Location Address:
310 EAST 14TH STREET 2ND FL SOUTH BLDG
Provider Second Line Business Practice Location Address:
OPHTHALMIC CONSULTANTS PC
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003-4201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-505-6550
Provider Business Practice Location Address Fax Number:
212-979-1772
Provider Enumeration Date:
06/23/2008