Provider First Line Business Practice Location Address:
HARLEM HOSPITAL CENTER, DEPARTMENT OF PEDIATRICS: MLK 1
Provider Second Line Business Practice Location Address:
506, LENOX AVENUE, NEW YORK, NY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10037
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-939-4019
Provider Business Practice Location Address Fax Number:
212-939-4022
Provider Enumeration Date:
05/28/2024