Provider First Line Business Practice Location Address:
MOUNT SINAI MEDICAL CENTER, DIVISION OF GENERAL PEDIATR
Provider Second Line Business Practice Location Address:
ONE GUSTAVE LEVY PLACE
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10029-6574
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-241-6500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/06/2007