Provider First Line Business Practice Location Address:
100 EAST 77TH STREET
Provider Second Line Business Practice Location Address:
LENOX HILL HOSPITAL (NORTHWELL HEALTH)
Provider Business Practice Location Address City Name:
MANHATTAN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10075
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-434-4763
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2025