Provider First Line Business Practice Location Address:
153 WEST 11TH STREET
Provider Second Line Business Practice Location Address:
ST VINCENTS HOSPITAL EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-604-8000
Provider Business Practice Location Address Fax Number:
973-740-9895
Provider Enumeration Date:
05/24/2006