Provider First Line Business Practice Location Address:
451 PARK AVENUE SOUTH, 2ND FLOOR
Provider Second Line Business Practice Location Address:
NORTHWELL HEALTH CONCORDE MEDICAL GROUP
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-7376
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-889-5640
Provider Business Practice Location Address Fax Number:
212-684-4775
Provider Enumeration Date:
03/08/2006