Provider First Line Business Practice Location Address:
1111 AMSTERDAM AVE
Provider Second Line Business Practice Location Address:
DEPT OF ANESTHESIOLOGY ST. LUKE'S ROOSEVELT HOSPITALS
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10025-1716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-523-3975
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/27/2011