Provider First Line Business Practice Location Address:
ONE GUSTAVE L. PLACE, MOUNT SINAI SCHOOL OF MEDICINE
Provider Second Line Business Practice Location Address:
BOX 1194 (ANNEMBERG 15-32)
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10029-6574
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-824-8241
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/09/2013