Provider First Line Business Practice Location Address:
622 WEST 168 STREET
Provider Second Line Business Practice Location Address:
MILSTEIN PAVILLION MEDICAL INTENSIVE CARE UNIT B
Provider Business Practice Location Address City Name:
NEW YORK CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-305-4141
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/04/2007