Provider First Line Business Practice Location Address:
MANHATTAN VA HOSPITAL 423 EAST 23RD ST.
Provider Second Line Business Practice Location Address:
ROOM 11097-S
Provider Business Practice Location Address City Name:
NY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-686-7500
Provider Business Practice Location Address Fax Number:
212-951-3481
Provider Enumeration Date:
06/07/2006