Provider First Line Business Practice Location Address:
622 W 168TH ST PH 16-66
Provider Second Line Business Practice Location Address:
COLUMBIA UNIVERSITY MEDICAL CENTER, DEPT OBGYN, DIV MFM
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10032-3720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-305-6293
Provider Business Practice Location Address Fax Number:
212-342-2717
Provider Enumeration Date:
04/03/2009