Provider First Line Business Practice Location Address:
525 EAST 68TH STREET
Provider Second Line Business Practice Location Address:
BOX 141 - DEPT OF RADIOLOGY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10065-4885
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-746-6000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/06/2007