Provider First Line Business Practice Location Address:
161 FT. WASHINGTON AVE
Provider Second Line Business Practice Location Address:
COLUMBIA ORTHOPEDICS - 2ND FLOOR
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:
212-305-5976
Provider Business Practice Location Address Fax Number:
212-305-6193
Provider Enumeration Date:
12/26/2017