Provider First Line Business Practice Location Address:
1879 MADISON AVE
Provider Second Line Business Practice Location Address:
NORTH GENERAL HOSPITAL - DEPT OF EMERGENCY MEDICINE
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10035-2709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-423-4249
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/03/2006