Provider First Line Business Practice Location Address:
507 LENOX AVENUE MLKBUILDING 16TH FLOOR NEUROLOGY
Provider Second Line Business Practice Location Address:
HARLEM HOSPITAL CENTER
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10037
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-939-4244
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/26/2007