Provider First Line Business Practice Location Address:
VA MEDICAL CENTER 423 E 23RD STREET
Provider Second Line Business Practice Location Address:
DEPARTMENT OF MEDICINE, 11N
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-686-7500
Provider Business Practice Location Address Fax Number:
212-951-5987
Provider Enumeration Date:
06/13/2006