Provider First Line Business Practice Location Address:
1 GUSTAVE L. LEVY PLACE, BOX 1185
Provider Second Line Business Practice Location Address:
MOUNT SINAI MEDICAL CENTER
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-241-7873
Provider Business Practice Location Address Fax Number:
212-241-3908
Provider Enumeration Date:
07/17/2006