Provider First Line Business Practice Location Address:
114 EAST 72ND STREET
Provider Second Line Business Practice Location Address:
JONA DIANA WEISS MD PC
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-988-6060
Provider Business Practice Location Address Fax Number:
212-988-1251
Provider Enumeration Date:
02/06/2007