Provider First Line Business Practice Location Address:
COLUMBIA UNIVERSITY DEPATMENT PEDIATRICS
Provider Second Line Business Practice Location Address:
3959 BROADWAY
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:
212-305-2446
Provider Business Practice Location Address Fax Number:
212-305-4429
Provider Enumeration Date:
01/30/2006