Provider First Line Business Practice Location Address:
350 EAST 17 STREET 3RD FLOOR
Provider Second Line Business Practice Location Address:
MOUNT SINAI BETH ISRAEL MEDICAL CENTER-DEPT OF ANESTHE
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-420-2385
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/19/2015