Provider First Line Business Practice Location Address:
CHILDREN'S HOSPITAL OF NEW YORK PRESBYTERIAN
Provider Second Line Business Practice Location Address:
630 W 168TH STREET, BHN 10-28
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:
212-305-8458
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/28/2008