Provider First Line Business Practice Location Address:
3 BARKER AVENUE
Provider Second Line Business Practice Location Address:
4TH FLOOR PARK AVENUE MEDICAL ASSOCIATES PC
Provider Business Practice Location Address City Name:
WHITE PLAINS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-949-1199
Provider Business Practice Location Address Fax Number:
914-949-1245
Provider Enumeration Date:
07/11/2006