Provider First Line Business Practice Location Address:
MOUNT SINAI MEDICAL CENTER
Provider Second Line Business Practice Location Address:
5 EAST 98TH STREET, 3RD 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:
10029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-241-7272
Provider Business Practice Location Address Fax Number:
212-534-2776
Provider Enumeration Date:
08/25/2005