Provider First Line Business Practice Location Address:
800A FIFTH AVENUE SUITE 205
Provider Second Line Business Practice Location Address:
THE ASH CENTER FOR COMPREHENSIVE MEDICINE
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10065
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-758-3200
Provider Business Practice Location Address Fax Number:
212-754-5800
Provider Enumeration Date:
06/16/2010