Provider First Line Business Practice Location Address:
FIRST AVE AT 27TH ST.
Provider Second Line Business Practice Location Address:
BELLEVUE HOSPITAL 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:
10027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-562-5688
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/14/2006