Provider First Line Business Practice Location Address:
25-10 30TH AVENUE, MOUNT SINAI OF QUEENS
Provider Second Line Business Practice Location Address:
DEPT OF EMERGENCY MEDICINE
Provider Business Practice Location Address City Name:
LONG ISLAND CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-932-4390
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/06/2009