Provider First Line Business Practice Location Address:
1901 FIRST AVENUE, NEW YORK MEDICAL COLLEGE METROPOLITA
Provider Second Line Business Practice Location Address:
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:
10029-7401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-423-6771
Provider Business Practice Location Address Fax Number:
212-423-8099
Provider Enumeration Date:
04/23/2026