Provider First Line Business Practice Location Address:
100 E 77TH STREET
Provider Second Line Business Practice Location Address:
RADIOLOGY DEPARTMENT
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-317-7828
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/02/2013