Provider First Line Business Practice Location Address:
403 EAST 34TH ST 4TH FLOOR
Provider Second Line Business Practice Location Address:
NYU COMPREHENSIVE EPILEPSY CENTER
Provider Business Practice Location Address City Name:
NY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-4972
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-263-8870
Provider Business Practice Location Address Fax Number:
212-263-8342
Provider Enumeration Date:
03/02/2006