Provider First Line Business Practice Location Address:
201 VARICK ST
Provider Second Line Business Practice Location Address:
IHSC MEDICAL
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10014-4811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-321-3369
Provider Business Practice Location Address Fax Number:
908-276-0363
Provider Enumeration Date:
11/23/2015