Provider First Line Business Practice Location Address:
CAS/MILBANK MEDICAL GROUP
Provider Second Line Business Practice Location Address:
14-32 WEST 118 STREET
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10026-1904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-369-8339
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/25/2005