Provider First Line Business Practice Location Address:
DEPARTMENT OF INTERNAL MEDICINE
Provider Second Line Business Practice Location Address:
1901, 1ST AVENUE
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10128
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-423-6271
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/05/2020