Provider First Line Business Practice Location Address:
310 E 14TH ST
Provider Second Line Business Practice Location Address:
NEW YORK EYE & EAR INFIRMARY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003-4284
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-979-4464
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/21/2012