Provider First Line Business Practice Location Address:
10 UNION SQUARE EAST
Provider Second Line Business Practice Location Address:
BIMC DEPT OF PAIN 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:
10003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-844-8930
Provider Business Practice Location Address Fax Number:
212-844-8931
Provider Enumeration Date:
11/23/2005