Provider First Line Business Practice Location Address:
130 EAST 77TH STREET
Provider Second Line Business Practice Location Address:
C/O MANHATTAN ORTHOPAEDICS, 7TH FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10075-1851
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-744-8114
Provider Business Practice Location Address Fax Number:
212-472-5624
Provider Enumeration Date:
09/26/2006