Provider First Line Business Practice Location Address:
550 FIRST AVENUE- PHARMACY DEPARTMENT
Provider Second Line Business Practice Location Address:
NYU LANGONE MEDICAL CENTER- TISCH HOSPITAL
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-263-5047
Provider Business Practice Location Address Fax Number:
212-263-7745
Provider Enumeration Date:
08/10/2015