Provider First Line Business Practice Location Address:
662 WEST 168TH STREET
Provider Second Line Business Practice Location Address:
PH 1-317, NYPH-COLUMBIA CAMPUS.DEPARTMENT OF RADIOLOGY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
929-444-0189
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/22/2014