Provider First Line Business Practice Location Address:
1111 AMSTERDAM AVE.
Provider Second Line Business Practice Location Address:
ST. LUKES HOSPITAL
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-322-8121
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/07/2014