Provider First Line Business Practice Location Address:
622 WEST 168TH STREET, PH 5-505
Provider Second Line Business Practice Location Address:
NEW YORK PRESBYTERIAN HOSPITAL/COLUMBIA UNIVERSITY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-342-2210
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/29/2022