Provider First Line Business Practice Location Address:
530 1ST AVE # SKI-9R
Provider Second Line Business Practice Location Address:
LEON H CHARNEY DIVISION OF CARDIOLOGY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-6402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-263-8177
Provider Business Practice Location Address Fax Number:
212-263-3988
Provider Enumeration Date:
11/30/2006