Provider First Line Business Practice Location Address:
30 7TH AVE
Provider Second Line Business Practice Location Address:
DEPT OF EMERGENCY MEDICINE
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10011-6608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-665-6900
Provider Business Practice Location Address Fax Number:
646-665-6996
Provider Enumeration Date:
12/13/2005