Provider First Line Business Practice Location Address:
NYU TISCH HOSPITAL
Provider Second Line Business Practice Location Address:
570 FIRST AVENUE
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-451-6115
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/19/2021