Provider First Line Business Practice Location Address:
5 E 98TH ST # 1188
Provider Second Line Business Practice Location Address:
MT SINAI MEDICAL CENTER - DEPT OF ORTHOPEDICS
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10029-6501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-241-1640
Provider Business Practice Location Address Fax Number:
212-534-6202
Provider Enumeration Date:
10/18/2006