Provider First Line Business Practice Location Address:
115 EAST 86TH STREET
Provider Second Line Business Practice Location Address:
NEW YORK CARDIAC DIAGNOSTIC CTR- GROUND 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:
10458
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-860-0796
Provider Business Practice Location Address Fax Number:
212-860-1946
Provider Enumeration Date:
07/14/2006