Provider First Line Business Practice Location Address:
1000 TENTH AVE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF EMERGENCY MEDICINE, RM GE-01
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-523-6752
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2019