Provider First Line Business Practice Location Address:
1ST AVE. & 16TH ST.
Provider Second Line Business Practice Location Address:
6 KARPAS
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-420-2316
Provider Business Practice Location Address Fax Number:
212-844-7659
Provider Enumeration Date:
02/13/2007