Provider First Line Business Practice Location Address:
310 E. 14TH ST
Provider Second Line Business Practice Location Address:
THE NEW YORK EYE AND EAR INFIRMARY
Provider Business Practice Location Address City Name:
NEW YORK CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-979-4676
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/10/2007