Provider First Line Business Practice Location Address:
MPC-WARDS ISLAND COMPLEX
Provider Second Line Business Practice Location Address:
MEYER BLDG. PHARMACY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10035-6000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-672-6472
Provider Business Practice Location Address Fax Number:
646-672-5970
Provider Enumeration Date:
09/26/2007