Provider First Line Business Practice Location Address:
FIRST AVE. AT 16TH STREET
Provider Second Line Business Practice Location Address:
BETH ISRAEL MED. CTR., DEPT. SURG.
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-420-5603
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/15/2008