Provider First Line Business Practice Location Address:
ICAHN SCHOOL OF MEDICINE MOUNT SINAI NYC HEALTH & HOSPI
Provider Second Line Business Practice Location Address:
82-68, 164TH STREET
Provider Business Practice Location Address City Name:
JAMAICA, QUEENS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-833-4037
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/09/2022